Healthcare Provider Details

I. General information

NPI: 1023711876
Provider Name (Legal Business Name): LAURA ROSA PINEDA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAURA ROSA HERNANDEZ GARCIA MD

II. Dates (important events)

Enumeration Date: 03/22/2023
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 100296
GAINESVILLE FL
32610-0296
US

IV. Provider business mailing address

PO BOX 100296
GAINESVILLE FL
32610-0296
US

V. Phone/Fax

Practice location:
  • Phone: 352-627-9350
  • Fax: 352-294-8096
Mailing address:
  • Phone: 352-627-9350
  • Fax: 352-294-8096

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME181796
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: