MEDICARE: DONNA M PINELLI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VX0201X	Gynecologic Oncology Physician	ME58753	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00238741	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023019023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNA M PINELLI MD

Provider Business Mailing Address
First Line	:	4801 S CONGRESS AVE
Second Line	:	SUITE 201
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-4746
Country	:	US
Telephone Number	:	561-253-3980
Fax Number	:	561-253-3985

Provider Business Practice Location Address
First Line	:	11382 PROSPERITY FARMS RD
Second Line	:	SUITE 228
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-3463
Country	:	US
Telephone Number	:	561-253-3980
Fax Number	:	561-253-3985

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	01/06/2014

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Directions to “ DONNA M PINELLI MD” Practice Location

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