Pines Foot & Ankle Surgical Group, Inc.

LBN: Pines Foot & Ankle Surgical Group, Inc.
Pines Foot & Ankle Surgical Group, Inc. 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 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is the primary health care specialty. Pines Foot & Ankle Surgical Group, Inc. can be contacted via phone (954) 704-2888, or through Valdes, Jorge L 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, Jorge L Doctor of Podiatric Medicine (DPM)
Phone: (954) 704-2888

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO-2687 Florida
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X PO-2687 Florida
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO-2687 Florida

Profile Details

NPI number 1326180795
LBN Legal business name Pines Foot & Ankle Surgical Group, Inc.
DBA Doing business as
Authorized official Valdes, Jorge L Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2007
Last updated Aug 19th, 2010 - about 16 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 1326180795 NPPES
Florida MEDICAID 390463600

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