Healthcare Provider Details

I. General information

NPI: 1023102167
Provider Name (Legal Business Name): HOWARD PINSKY ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 11/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12450 TAMIAMI TRAIL SUITE E
NORTH PORT FL
34287-1932
US

IV. Provider business mailing address

12450 TAMIAMI TRL S SUITE E
NORTH PORT FL
34287-1473
US

V. Phone/Fax

Practice location:
  • Phone: 941-257-4763
  • Fax: 941-257-4766
Mailing address:
  • Phone: 941-257-4763
  • Fax: 941-257-4766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP1149752
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: