Pierce, Douglas Kimball

Pierce, Douglas Kimball is an individual health care provider with primary practice located at 8787 Bryan Dairy Rd #360, Largo FL 33777-1251. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Pierce, Douglas Kimball can be contacted via phone (727) 393-4900.

Contact Information

Primary practice address
8787 Bryan Dairy Rd #360 Largo FL 33777-1251
Fax: (727) 393-4910
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X FL0051303 Florida

Profile Details

NPI number 1528194453
LBN Legal business name Pierce, Douglas Kimball
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Jun 28th, 2010 - about 14 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 1528194453 NPPES
Florida MEDICAID 048485701

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