MEDICARE: ROBERT W PIMENTEL 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	207V00000X	Obstetrics & Gynecology Physician	ME163589	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	042610	OTHER		HEALTH ALLIANCE
2	4796890023	OTHER		DMERC
3	ME163589	OTHER	FL	FL MEDICAL LICENSE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	91382	OTHER		WELLMARK BC/BS
6	209860	OTHER		IOWA HEALTH SOLUTIONS
7	IL01F4	OTHER		JOHN DEERE HEALTH PLAN
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245236298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT W PIMENTEL MD

Provider Business Mailing Address
First Line	:	PO BOX 9100
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-9100
Country	:	US
Telephone Number	:	613-002-4105
Fax Number	:

Provider Business Practice Location Address
First Line	:	8320 W SUNRISE BLVD STE 200
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33322-5434
Country	:	US
Telephone Number	:	954-791-2810
Fax Number	:	954-791-9810

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

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	05/03/2024

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Directions to “ ROBERT W PIMENTEL MD” Practice Location

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