PINES RADIOLOGY CENTER INC (NPI# 1124111414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124111414 |
| Entity Type | Organization |
| Organization Name | PINES RADIOLOGY CENTER INC |
| Practice Address |
9050 Pines Blvd Ste 170 Pembroke Pines FL 33024-6400 |
| Mailing Address |
210 S Federal Hwy Ste 403 Hollywood FL 33020-6811 |
| Practice Telephone | 9544317627 |
| Practice Fax Number | 9544317733 |
| Mailing Telephone | 9549293400 |
| Mailing Fax Number | 9549292001 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-06-24 |
| Authorized Official Name | DR. VLADIMIR GRNJA (PRESIDENT) |
| Authorized Official Telephone | 9549293400 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
ME20137 | FL | Ambulatory Health Care Facilities |
| Y | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
Ambulatory Health Care Facilities |
| Street Address |
9050 PINES BLVD STE 170 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33024-6400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603467 | Brooke Davignon | Behavioral Analyst | 1800 N Douglas Rd, Pembroke Pines, FL 33024 | 2020-06-09 |
| 1710527296 | Kids Miracle Steps, Inc. | Skilled Nursing Facility | 1371-1381 N Palm Ave., Pembroke Pines, FL 33024 | 2020-01-13 |
| 1992263636 | Cortney D Johnson | Social Worker | 1773 Nw 74th Way, Hollywood, FL 33024 | 2019-03-12 |
| 1760964613 | Family Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7777 Davie Rd Ext, Ste 302 A-z, Hollywood, FL 33024 | 2018-09-06 |
| 1639650427 | Delone Elizabeth Plummer | Nurse Practitioner | 3157 N Univesity Dr, Pembroke Pines, FL 33024 | 2018-08-28 |
| 1467943126 | Bl Medical Center, Inc | Dermatology | 9050 Pines Blvd Ste 363, Pembroke Pines, FL 33024 | 2018-05-29 |
| 1952890360 | Rosmery Perez | Behavior Technician | 6610 Meade St, Hollywood, FL 33024 | 2018-05-02 |
| 1447747134 | Joseph P Robert | Technician, Health Information | 8471 Nw19th St, Pembroke Pines, FL 33024 | 2018-04-18 |
| 1164929329 | Yanelis Gutierrez Rodriguez | Behavior Technician | 321 Nw 78t Terrace Apt 104, Apt104 B32, Pembroke Pines, FL 33024 | 2018-04-12 |
| 1134621949 | Llc Tm's Care Enterprise | Clinic/Center | 9113-9117 Taft Street, Pembroke Pines, FL 33024 | 2018-03-07 |
| Find all providers in zip 33024 | ||||
| Taxonomy Code | 261QR0206X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mammography |
| Definition to come... |
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| 1508254228 | Lodin Health Imaging Inc | Clinic/Center | 114 -115 Medical Center Ave, Sebring, FL 33870 | 2015-01-05 |
| 1063847341 | North Broward Hospital District | Clinic/Center | 2300 N Commerce Pkwy Ste 110, Weston, FL 33326-3255 | 2013-09-05 |
| 1558617373 | Gables Mammography & Ultrasound Medical Group, Inc. | Clinic/Center | 31 Almeria Ave, Coral Gables, FL 33134-6118 | 2012-07-30 |
| 1093093726 | The Medical City,llc | Clinic/Center | 3595 W 20th Ave Ste 145, Hialeah, FL 33012-4537 | 2011-07-29 |
| 1609102003 | Care Diagnostics for Women, LLC | Clinic/Center | 2240 Nw 19th St, Boca Raton, FL 33431-8506 | 2009-10-20 |
| 1710124672 | Women's Mobile Medical Services, LLC | Clinic/Center | 8540 Black Mesa Dr, Orlando, FL 32829-8758 | 2009-01-14 |
| Find all providers with the same taxonomy | ||||
| City | PEMBROKE PINES |
| Zip Code | 33024 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.