Individual
DR. MARY COLEEN PINDER-SCHENCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12902 MAGNOLIA DRIVE, TAMPA, FL 33612
(813) 745-2826
(813) 745-3027
Mailing address
12902 MAGNOLIA DRIVE, FOB-THORPROG, TAMPA, FL 33612
(813) 745-7640
(813) 745-3027
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
BP10021806
TX
207RX0202X
Medical Oncology Physician
Primary
ME104062
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1749PI
BLUE SHIELD #
WA
01
—
P00460205
RAILROAD MC #
WA
01
—
US9706079
AETNA PCP PIN
WA
Enumeration date
06/05/2007
Last updated
03/26/2014
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