Healthcare Provider Details

I. General information

NPI: 1144631607
Provider Name (Legal Business Name): STEVEN PINKERT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2014
Last Update Date: 02/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 NW 8TH AVE SUITE 20
GAINESVILLE FL
32601-4998
US

IV. Provider business mailing address

1050 NW 8TH AVE SUITE 20
GAINESVILLE FL
32601-4998
US

V. Phone/Fax

Practice location:
  • Phone: 352-377-5007
  • Fax:
Mailing address:
  • Phone: 352-377-5007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License NumberME117195
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME117195
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: