MEDICARE: GINA PASTORE ARNP

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	363LA2200X	Adult Health Nurse Practitioner	2991892	FL

General Provider Information

NPI Number	:	1851493506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GINA PASTORE ARNP

Provider Business Mailing Address
First Line	:	2595 TAMPA RD STE P
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34684-3131
Country	:	US
Telephone Number	:	727-771-3915
Fax Number	:

Provider Business Practice Location Address
First Line	:	2595 TAMPA RD STE P
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34684-3131
Country	:	US
Telephone Number	:	727-771-3915
Fax Number	:

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

Provider Enumeration Date	:	09/02/2006
Last Update Date	:	06/22/2026

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