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Organization

CARLOS PINIELLA MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARLOS JESUS PINIELLA MD (OWNER)
(305) 666-0726
Entity
Organization

Contact information

Practice address
9275 SW 152ND STREET, SUITE 210, PALMETTO BAY, FL 33157-1774
(305) 255-9577
(305) 255-3115
Mailing address
6705 SW 57TH AVE STE 520, SOUTH MIAMI, FL 33143-3649
(305) 666-0726
(305) 666-0792

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
ME0062377
FL
207KA0200X
Allergy Physician
Primary
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1669381003
CIGNA
FL
05
3739473-01
FL
05
3739473-03
FL
05
373947300
FL
01
4519317
AETNA
FL
Enumeration date
01/16/2007
Last updated
01/30/2023
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