Individual
MARK PINALS
Active
Individual
MARK PINALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2069171
NY
2085R0202X
Diagnostic Radiology Physician
ME76180
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254364800
—
FL
01
—
300091132
RR MEDICARE
FL
01
—
P00943870
RR MEDICARE - UCC
FL
Enumeration date
08/31/2006
Last updated
04/10/2019
Update your record
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