DR. MD Jack A Pines, NPI 1285699447
Urology Physician in Hallandale Beach, FL, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1285699447 |
| NPI Entity Type | Individual |
| Provider Name | DR. MD Jack A Pines |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 2500 E Hallandale Beach Blvd, Suite Ph-2, Hallandale Beach, FL, US |
| Provider Mailing Address | 2234 Colonial Blvd, Managed Care Dept, Fort Myers, FL, US, 339071412 |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Urology Physician |
| Classification | |
| Group | |
| License No. | ME48050 |
| License State | FL |
| Description | A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| ME 48050 | FL | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| QMP000003703988 | FL | MOLINA | 01 |
| 18645 | FL | WELLCARE | 01 |
| 4072125 | FL | AETNA PROVIDER # | 01 |
| 77215 | FL | MEDICARE GROUP | 01 |
| P0003143 | FL | FLORIDA HEALTHCARE PLUS | 01 |
| P00470777 | FL | RR MEDICARE | 01 |
| 03807 | FL | BCBS FL | 01 |
| 11499 | FL | MEDICA | 01 |
| 2730308 00 | FL | MEDICAID | 05 |
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