Provider Demographics
NPI:1477598126
Name:RINDE, JOHN JACQUES (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:JACQUES
Last Name:RINDE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3207 HILLTOP LN
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-2724
Mailing Address - Country:US
Mailing Address - Phone:727-422-6180
Mailing Address - Fax:727-586-6593
Practice Address - Street 1:3207 HILLTOP LN
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-2724
Practice Address - Country:US
Practice Address - Phone:727-422-6180
Practice Address - Fax:727-586-6593
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME29107207R00000X
ARC4970207R00000X
CODR42017207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL62136Medicare ID - Type Unspecified
FLD57309Medicare UPIN