Provider Demographics
NPI:1356569560
Name:DAVID PINZLER DO PA
Entity type:Organization
Organization Name:DAVID PINZLER DO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:PINZLER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:772-419-5904
Mailing Address - Street 1:900 SE OCEAN BLVD
Mailing Address - Street 2:SUITE D-338
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-2471
Mailing Address - Country:US
Mailing Address - Phone:772-419-5904
Mailing Address - Fax:772-519-4907
Practice Address - Street 1:900 SE OCEAN BLVD
Practice Address - Street 2:SUITE D-338
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2471
Practice Address - Country:US
Practice Address - Phone:772-419-5904
Practice Address - Fax:772-519-4907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS7974207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Single Specialty