Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | ME41058 | FL |
NPI | 1316942105 |
---|---|
Provider Name | Joseph J Pino |
First Address | Hudson, FL 34667-7181 |
Second Address | Hudson, FL 34667-7181 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2005 |
Last Update Date | 02/02/2022 |