Organization
PINECREST PT- DAVIE L.L.C.
Active
Organization
PINECREST PT- DAVIE L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD RANI YACOUB MSPT (OWNER)
(305) 722-0568
Entity
Organization
Contact information
Practice address
4900 S UNIVERSITY DR STE 106, DAVIE, FL 33328-3809
(305) 722-0568
Mailing address
PO BOX 331922, MIAMI, FL 33233-1922
(305) 722-0568
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT18067
FL
Other
Enumeration date
03/21/2018
Last updated
07/21/2020
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