Doctor Name: | DR. MARK K PINKOWSKI |
NPI Number: | 1245203975 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 0044360 |
Business Practice Address: | 1317 W Point Dr Cocoa, FL - 329226464 |
Business Phone Number: | 3216362621 |
Business Fax Number: | 3216319436 |
Mailing Address: | Po Box 11406, BELFAST |
State: | ME |
Postal Code: | 049154005 |
Phone Number: | 3216362621 |
Fax Number: | 3216319436 |
NPI Enumeration Date: | 02/13/2006 |
NPI Last Update Date: | 04/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0044360 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |