Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | ME0013045 | FL |
NPI | 1003801382 |
---|---|
Provider Name | Donald Edward Pearson |
First Address | Orlando, FL 32806 |
Second Address | Orlando, FL 32806 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2005 |
Last Update Date | 13/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
055375100 | (05) | FL |
D55436 | (02) |