Provider Demographics
NPI:1699884510
Name:PINSKY, MARK ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:ALAN
Last Name:PINSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:11020 RCA CENTER DR
Mailing Address - Street 2:SUITE 2010
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4277
Mailing Address - Country:US
Mailing Address - Phone:561-881-8800
Mailing Address - Fax:561-848-5878
Practice Address - Street 1:11020 RCA CENTER DR
Practice Address - Street 2:SUITE 2010
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-4277
Practice Address - Country:US
Practice Address - Phone:561-881-8800
Practice Address - Fax:561-848-5878
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME59710208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL054699200Medicaid
FL12642OtherBLUECROSS BLUESHIELD
FL12642OtherBLUECROSS BLUESHIELD
FL12642YMedicare ID - Type UnspecifiedMEDICARE