Individual
IVAN FLORENTINO-PINEDA
Active
Individual
IVAN FLORENTINO-PINEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
057073
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198492
BCBS
GA
01
—
339427
WELLCARE CMO
GA
05
—
386511349A
—
GA
05
—
386511349B
—
GA
01
—
550789920
TRICARE
GA
05
—
G57073
—
SC
Enumeration date
09/27/2006
Last updated
06/15/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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