Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RX0202X | Medical Oncology | BP10021806 | TX |
Y | 207RX0202X | Medical Oncology | ME104062 | FL |
NPI | 1073716403 |
---|---|
Provider Name | Dr. Mary Coleen Pinder-Schenck |
First Address | Tampa, FL 33612 |
Second Address | Tampa, FL 33612 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2007 |
Last Update Date | 26/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1749PI | BLUE SHIELD # (01) | WA |
P00460205 | RAILROAD MC # (01) | WA |
U25194 | (02) | NC |
US9706079 | AETNA PCP PIN (01) | WA |