Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | ME110368 | FL |
NPI | 1013175488 |
---|---|
Provider Name | Dr. Carisa Karin Pearce |
First Address | Fort Myers, FL 33916-2216 |
Second Address | Palm Beach Gardens, FL 33410-2824 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2008 |
Last Update Date | 18/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003948600 | (05) | FL |