Healthcare Provider Details

I. General information

NPI: 1427971027
Provider Name (Legal Business Name): THE PINK PRACTICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2877 TURK BLVD
SAN FRANCISCO CA
94118-4350
US

IV. Provider business mailing address

1317 EDGEWATER DR STE 7721
ORLANDO FL
32804-6350
US

V. Phone/Fax

Practice location:
  • Phone: 301-356-5679
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CAMILLE BARONI ENGLE
Title or Position: AUTHORIZED OFFICIAL/OWNER
Credential: APRN, FNP-C
Phone: 301-356-5679