Provider Demographics
NPI:1922421312
Name:MICHELLE PIPINO ARNP-C, LLC
Entity Type:Organization
Organization Name:MICHELLE PIPINO ARNP-C, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LARAINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:GORMAN-HURD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-966-2773
Mailing Address - Street 1:9007 40TH CT E
Mailing Address - Street 2:
Mailing Address - City:PARRISH
Mailing Address - State:FL
Mailing Address - Zip Code:34219-2226
Mailing Address - Country:US
Mailing Address - Phone:941-727-0940
Mailing Address - Fax:
Practice Address - Street 1:9007 40TH CT E
Practice Address - Street 2:
Practice Address - City:PARRISH
Practice Address - State:FL
Practice Address - Zip Code:34219-2226
Practice Address - Country:US
Practice Address - Phone:941-727-0940
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-22
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9165852310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLBT686VMedicare PIN