Pines Advanced Medical Group, P.A.

LBN: Pines Advanced Medical Group, P.A.
Pines Advanced Medical Group, P.A. is an health care organization with primary practice located at 17901 Nw 5Th St Suite 106, Pembroke Pines FL 33029-2810. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Pines Advanced Medical Group, P.A. can be contacted via phone (954) 704-2888, or through Valdes, Gerardo Alberto via phone (954) 704-2888.

Contact Information

Primary practice address
17901 Nw 5Th St Suite 106 Pembroke Pines FL 33029-2810
Phone: (954) 704-2888
Fax: (954) 704-0227
Website:
Map and Directions
Authorized official contact:
Name: Valdes, Gerardo Alberto Doctor of Medicine (MD)
Phone: (954) 704-2888

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME84420 Florida

Profile Details

NPI number 1770771271
LBN Legal business name Pines Advanced Medical Group, P.A.
DBA Doing business as
Authorized official Valdes, Gerardo Alberto Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2007
Last updated Oct 9th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770771271 NPPES
Florida Other K5841 MEDICARE

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