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NPI Code Detail

MEDICARE: DR. SUZETTE S PINTO M.D.

MEDICARE:  DR. SUZETTE S PINTO  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
1207Q00000XFamily Medicine Physician219921MA
2207Q00000XFamily Medicine PhysicianME142856FL

Other Identifiers

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

General Provider Information

NPI Number : 1902899321
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUZETTE S PINTO M.D.
Provider Business Mailing Address
First Line : 5130 SUNFOREST DR STE 300
Second Line :
City : TAMPA
State : FL
Zip : 33634-6327
Country : US
Telephone Number : 727-824-0780
Fax Number : 813-514-8891
Provider Business Practice Location Address
First Line : 5130 SUNFOREST DR STE 300
Second Line :
City : TAMPA
State : FL
Zip : 33634-6327
Country : US
Telephone Number : 727-824-0780
Fax Number : 813-514-8891
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2005
Last Update Date : 01/12/2023

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Directions to “ DR. SUZETTE S PINTO M.D.” Practice Location

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