Healthcare Provider Details

I. General information

NPI: 1184506248
Provider Name (Legal Business Name): KAREN PIMENTEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2025
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17773 SW 2ND ST
PEMBROKE PINES FL
33029-3924
US

IV. Provider business mailing address

8218 BORGIA CT
ORLANDO FL
32836-8737
US

V. Phone/Fax

Practice location:
  • Phone: 954-589-2347
  • Fax: 954-301-2246
Mailing address:
  • Phone: 608-572-2087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: