Healthcare Provider Details

I. General information

NPI: 1265774343
Provider Name (Legal Business Name): AARON DANIEL PINNOLA D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2013
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1940 NE 47TH ST
FORT LAUDERDALE FL
33308-7711
US

IV. Provider business mailing address

1940 NE 47TH ST
FORT LAUDERDALE FL
33308-7711
US

V. Phone/Fax

Practice location:
  • Phone: 954-351-7770
  • Fax: 954-351-7181
Mailing address:
  • Phone: 954-351-7770
  • Fax: 954-351-7181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberOS20760
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: