Provider Demographics
NPI:1912984337
Name:PINSKY, TODD N (DPM)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:N
Last Name:PINSKY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9980 CENTRAL PARK BLVD N
Mailing Address - Street 2:STE 208
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-1762
Mailing Address - Country:US
Mailing Address - Phone:561-488-4848
Mailing Address - Fax:561-483-5091
Practice Address - Street 1:9980 CENTRAL PARK BLVD N
Practice Address - Street 2:STE 208
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428
Practice Address - Country:US
Practice Address - Phone:561-488-4848
Practice Address - Fax:561-483-5091
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO 2003213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL059787200Medicaid
FL059787200Medicaid
FL65097ZMedicare PIN