MEDICARE: MARIA 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	01098477A	IN
2	207V00000X	Obstetrics & Gynecology Physician	ME99226	FL
3	207V00000X	Obstetrics & Gynecology Physician	245375	NY

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

General Provider Information

NPI Number	:	1508050162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA PIMENTEL MD

Provider Business Mailing Address
First Line	:	90 DEERPATH DR
Second Line	:
City	:	OLDSMAR
State	:	FL
Zip	:	34677-2063
Country	:	US
Telephone Number	:	727-348-2770
Fax Number	:	727-933-0374

Provider Business Practice Location Address
First Line	:	3231 MCMULLEN BOOTH RD
Second Line	:
City	:	SAFETY HARBOR
State	:	FL
Zip	:	34695-6607
Country	:	US
Telephone Number	:	727-725-5121
Fax Number	:	727-933-0374

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

Provider Enumeration Date	:	08/28/2007
Last Update Date	:	03/04/2026

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Directions to “ MARIA PIMENTEL MD” Practice Location

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