MEDICARE: DR. MARK ALAN PINSKY M.D.

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	208200000X	Plastic Surgery Physician	ME59710	FL

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
2	12642	OTHER	FL	BLUECROSS BLUESHIELD

General Provider Information

NPI Number	:	1699884510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK ALAN PINSKY M.D.

Provider Business Mailing Address
First Line	:	11020 RCA CENTER DR
Second Line	:	SUITE 2010
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-4277
Country	:	US
Telephone Number	:	561-881-8800
Fax Number	:	561-848-5878

Provider Business Practice Location Address
First Line	:	11020 RCA CENTER DR
Second Line	:	SUITE 2010
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-4277
Country	:	US
Telephone Number	:	561-881-8800
Fax Number	:	561-848-5878

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	01/07/2011

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