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Individual

LAURA V. PINEIRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
650 DEL PRADO BLVD S STE 100, CAPE CORAL, FL 33990-5617
(239) 424-2060
(239) 424-2061
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 424-2060
(239) 424-2061

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036111204
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
ME156431
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036111204
MEDICAID PTAN
IL
05
036111204
IL
01
04515134
BCBS#
IL
05
117523300
FL
Enumeration date
10/20/2005
Last updated
05/04/2023
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