Provider Demographics
NPI:1023102167
Name:PINSKY, HOWARD (ARNP)
Entity type:Individual
Prefix:
First Name:HOWARD
Middle Name:
Last Name:PINSKY
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12450 TAMIAMI TRL S
Mailing Address - Street 2:SUITE E
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34287-1473
Mailing Address - Country:US
Mailing Address - Phone:941-257-4763
Mailing Address - Fax:941-257-4766
Practice Address - Street 1:12450 TAMIAMI TRAIL
Practice Address - Street 2:SUITE E
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34287-1932
Practice Address - Country:US
Practice Address - Phone:941-257-4763
Practice Address - Fax:941-257-4766
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1149752363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3075052 00Medicaid