Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | ME58753 | FL |
NPI | 1023019023 |
---|---|
Provider Name | Donna M Pinelli |
First Address | Lake Worth, FL 33461-4746 |
Second Address | Palm Beach Gardens, FL 33410-3463 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2005 |
Last Update Date | 06/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
052222800 | (05) | FL |
E81191 | (02) | FL |
P00238741 | RAILROAD MEDICARE (01) | FL |