Dr. Jack A Pines
Urologist Surgical Oncologist
2500 E Hallandale Beach Blvd Suite Ph-2
Hallandale Beach
, Florida 33009-4834
Dr. Jack A Pines
Urologist Surgical Oncologist
2500 E Hallandale Beach Blvd Suite Ph-2
Hallandale Beach
, Florida 33009-4834
(239) 931-7385
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About
Features
Specialties
- Surgical Oncologist
- Urologist
Languages spoken
- English
Location
First Address
- Dr. Jack A Pines
- 2234 Colonial Blvd Managed Care Dept
- Fort Myers, FL
- Zip : 33907-1412
- Fax : (239) 931-7385
- Phone : (239) 931-7342
Second Address
- Dr. Jack A Pines
- 2500 E Hallandale Beach Blvd Suite Ph-2
- Hallandale Beach, FL
- Zip : 33009-4834
- Fax : (954) 456-6503
- Phone : (954) 456-6500
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2086X0206X | Surgical Oncologist | ME 48050 | FL |
| Y | 208800000X | Urologist | ME48050 | FL |
National Provider Identifier
| NPI | 1285699447 |
|---|---|
| Provider Name | Dr. Jack A Pines |
| First Address | Fort Myers, FL 33907-1412 |
| Second Address | Hallandale Beach, FL 33009-4834 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/04/2006 |
| Last Update Date | 10/04/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 03807 | BCBS FL (01) | FL |
| 11499 | MEDICA (01) | FL |
| 18645 | WELLCARE (01) | FL |
| 2730308 00 | (05) | FL |
| 4072125 | AETNA PROVIDER # (01) | FL |
| 77215 | MEDICARE GROUP (01) | FL |
| D50837 | (02) | FL |
| P0003143 | FLORIDA HEALTHCARE PLUS (01) | FL |
| P00470777 | RR MEDICARE (01) | FL |
| QMP000003703988 | MOLINA (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.