Provider Demographics
NPI:1265774343
Name:PINNOLA, AARON DANIEL (DO)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:DANIEL
Last Name:PINNOLA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 E. SAMPLE ROAD SUITE 101
Mailing Address - Street 2:
Mailing Address - City:LIGHTHOUSE POINT
Mailing Address - State:FL
Mailing Address - Zip Code:33064-7574
Mailing Address - Country:US
Mailing Address - Phone:954-958-7195
Mailing Address - Fax:954-958-7115
Practice Address - Street 1:1 WEST SAMPLE ROAD SUITE 207
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-3547
Practice Address - Country:US
Practice Address - Phone:954-958-7195
Practice Address - Fax:954-958-7115
Is Sole Proprietor?:No
Enumeration Date:2013-03-26
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS20760208600000X
SC37692207RI0008X, 208600000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatology