Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 2020-00403 | NC |
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | OS15697 | FL |
NPI | 1629464060 |
---|---|
Provider Name | James Pinkston |
First Address | Coral Springs, FL 33071-6621 |
Second Address | Coral Springs, FL 33071-6621 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2015 |
Last Update Date | 01/07/2020 |