Pine Crest School

NPI #1609278704 in Ft Lauderdale, Florida

Provider Information

NPI Number: 1609278704
Entity Type: Organization
Organization Name: Pine Crest School
Primary Specialty: Health Educator
Enumeration Date: Sep 19, 2014
Last Updated: Sep 19, 2014

Practice Location

Address: 1501 NE 62ND ST
City: Ft Lauderdale
State: Florida
ZIP Code: 33334-5116
Phone: (954) 776-2134

Authorized Official

Name: MR. JEFF JOHNSON
Title: ATHLETIC DIRECTOR
Phone: (954) 776-2134

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health Educator	174H00000X	Primary

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