Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Emergency Care |
261QE0002X |
| NPI Number | 1467838391 |
||||
| LBN Legal business name | PINEY WOODS ER II LLC | ||||
| Authorized official | CHRISTOPHER KWON - (MANAGER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 08/03/2015 | ||||
| Last updated | 09/01/2016 - About 10 years ago | ||||
| Identifiers |
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