Healthcare Provider Details

I. General information

NPI: 1942998679
Provider Name (Legal Business Name): WILLIAM ALEXANDER PINA-ANASTASIADIS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2023
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

FLORIDA INTERNATIONAL UNIVERSITY CCF ACADEMIC HEALTH CENTER 1, 11200 SW 8TH ST ROOM 140
MIAMI FL
33199-0001
US

IV. Provider business mailing address

FLORIDA INTERNATIONAL UNIVERSITY CCF ACADEMIC HEALTH CENTER 1, 11200 SW 8TH ST ROOM 140
MIAMI FL
33199-0001
US

V. Phone/Fax

Practice location:
  • Phone: 305-348-0477
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: