Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | ME117900 | FL |
N | 208000000X | Pediatrician | MT187805 | PA |
Y | 2080P0205X | Pediatric Endocrinologist | ME117900 | FL |
NPI | 1326250523 |
---|---|
Provider Name | Dina Belachew Pearson |
First Address | Fort Myers, FL 33902-2147 |
Second Address | Fort Myers, FL 33908-3838 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 29/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009909300 | (05) | FL |