Provider Demographics
NPI:1629615422
Name:RINATO, ANNMARIE R
Entity Type:Individual
Prefix:
First Name:ANNMARIE
Middle Name:R
Last Name:RINATO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANNMARIE
Other - Middle Name:RENEE
Other - Last Name:RINATO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3782 NW 23RD MNR
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33066-2268
Mailing Address - Country:US
Mailing Address - Phone:860-877-6899
Mailing Address - Fax:
Practice Address - Street 1:3782 NW 23RD MNR
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33066-2268
Practice Address - Country:US
Practice Address - Phone:860-877-6899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-30
Last Update Date:2019-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11005234363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily