Healthcare Provider Details

I. General information

NPI: 1174187645
Provider Name (Legal Business Name): RENEE PINHEIRO PA-C, MPAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2019
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 MEASE DR STE 110
SAFETY HARBOR FL
34695-6603
US

IV. Provider business mailing address

PO BOX 748817
ATLANTA GA
30374-8817
US

V. Phone/Fax

Practice location:
  • Phone: 727-376-7734
  • Fax: 727-372-0644
Mailing address:
  • Phone: 813-286-0333
  • Fax: 813-282-1806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9113316
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberPA9113316
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: