Provider Demographics
NPI:1790850980
Name:PINTAURO, WILLIAM L (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:L
Last Name:PINTAURO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2160 COLONIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1410
Mailing Address - Country:US
Mailing Address - Phone:239-931-7342
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:5601 N DIXIE HWY STE 320
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334-4146
Practice Address - Country:US
Practice Address - Phone:954-491-0030
Practice Address - Fax:954-771-7515
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0048102208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL02918OtherBCBS FL
FL1251284OtherWELLCARE
FLP01724355OtherSIMPLY HEALTHCARE
FL000057366OtherHUMANA CHOICE CARE
FL10346OtherMEDICA HEALTH
FL4122331OtherAETNA ID #
FLP00471493OtherRAIL ROAD MEDICARE
FLP0003147OtherFLORIDA HEALTHCARE PLUS
FLP01724355OtherSIMPLY HEALTHCARE
FL10346OtherMEDICA HEALTH