Pine Enterprises, LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

PINE ENTERPRISES, LLC

Practice address

407 N Belcher Rd
Clearwater, FL 33765-2607

Phone

(727) 450-0700

Fax

(888) 271-2833

NPI assigned

Nov 7, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Steven Grunebach

Title

President

Phone

(727) 450-0700

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174692685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N BELCHER RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337652607",
            "telephone_number": "727-450-0700",
            "fax_number": "888-271-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N BELCHER RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337652607",
            "telephone_number": "727-450-0700",
            "fax_number": "888-271-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRUNEBACH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-450-0700"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Pierce
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• Adam Pignon
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• Pinellas County Health Department

• Point of Service in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Point of Service in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.