Individual
THOMAS DONATO PINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
632 DEL PRADO BLVD N, CAPE CORAL, FL 33909-2278
(239) 829-7102
Mailing address
151 SOUTHHALL LANE, SUITE 300, MAITLAND, FL 32751-7157
(866) 400-3376
(407) 650-3455
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
PA9108370
FL
363AM0700X
Medical Physician Assistant
Primary
PA9108370
FL
Other
Enumeration date
11/06/2014
Last updated
01/23/2025
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