Pearson, Nicole Antoinette

Pearson, Nicole Antoinette is an individual health care provider with primary practice located at 5589 Okeechobee Blvd Ste 102 , West Palm Beach FL 33417-4486. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Pearson, Nicole Antoinette can be contacted via phone (561) 509-5009.

Contact Information

Primary practice address
5589 Okeechobee Blvd Ste 102 West Palm Beach FL 33417-4486
Phone: (561) 509-5009
Fax: (561) 798-2733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME 84271 Florida

Profile Details

NPI number 1194726430
LBN Legal business name Pearson, Nicole Antoinette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Aug 17th, 2020 - about 5 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 1194726430 NPPES
Florida MEDICAID 0273574100
Florida Other 16839

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