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
Fax:
Website:

Health care specialties

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669609467 NPPES
Florida MEDICAID 015218400

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