Pearlstine, Ira S

Pearlstine, Ira S is an sole proprietor health care provider with primary practice located at 561 Nw Lake Whitney Pl Suite 104, Port St Lucie FL 34986-1624. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pearlstine, Ira S can be contacted via phone (772) 252-1425.

Contact Information

Primary practice address
561 Nw Lake Whitney Pl Suite 104 Port St Lucie FL 34986-1624
Fax: (772) 252-5917
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME 47037 Florida

Profile Details

NPI number 1356393912
LBN Legal business name Pearlstine, Ira S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2006
Last updated Nov 12th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356393912 NPPES
Florida Other AJ126A MEDICARE GROUP

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