Provider Demographics
NPI:1114144672
Name:PINCUS, JOAN BIRNBERG (MD)
Entity Type:Individual
Prefix:DR
First Name:JOAN
Middle Name:BIRNBERG
Last Name:PINCUS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JOAN
Other - Middle Name:B
Other - Last Name:PINCUS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:5930 SW ARCHER RD
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-4702
Mailing Address - Country:US
Mailing Address - Phone:352-332-2629
Mailing Address - Fax:
Practice Address - Street 1:5930 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-4702
Practice Address - Country:US
Practice Address - Phone:352-332-2629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME884642084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry