Provider Demographics
NPI:1407408677
Name:PINES HEALTH CENTER INC
Entity Type:Organization
Organization Name:PINES HEALTH CENTER INC
Other - Org Name:HEALTH CENTER OF MIAMI AND WORKERS COMP TREATMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAYNIER
Authorized Official - Middle Name:
Authorized Official - Last Name:MOYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-776-5822
Mailing Address - Street 1:10011 PINES BLVD STE 203C
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-6167
Mailing Address - Country:US
Mailing Address - Phone:305-776-5822
Mailing Address - Fax:
Practice Address - Street 1:7911 NW 72ND AVE STE 111
Practice Address - Street 2:
Practice Address - City:MEDLEY
Practice Address - State:FL
Practice Address - Zip Code:33166-2221
Practice Address - Country:US
Practice Address - Phone:305-586-5971
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-09
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No251S00000XAgenciesCommunity/Behavioral Health