Pearson, Elliot Jay
Pearson, Elliot Jay is an individual health care provider with primary practice located at 927 45Th St Ste 206 , Mangonia Park FL 33407-2450. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Pearson, Elliot Jay can be contacted via phone (561) 844-8354.Contact Information
Primary practice address
927 45Th St Ste 206
Mangonia Park FL 33407-2450
Phone: (561) 844-8354
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 14013 | Florida |
Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | ME 124178 | Florida |
Profile Details
NPI number | 1669609467 |
---|---|
LBN Legal business name | Pearson, Elliot Jay |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 18th, 2009 |
Last updated | Mar 24th, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669609467 | NPPES |
Florida | MEDICAID | 015218400 |
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