Provider Demographics
NPI:1720117625
Name:PECINOVSKY, SANDRA LOUISE (A P)
Entity type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:LOUISE
Last Name:PECINOVSKY
Suffix:
Gender:F
Credentials:A P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2206 SE 3RD ST.
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471
Mailing Address - Country:US
Mailing Address - Phone:571-235-6312
Mailing Address - Fax:
Practice Address - Street 1:2206 SE 3RD AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-5103
Practice Address - Country:US
Practice Address - Phone:571-235-6312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 2354171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist