Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | ME 62813 | FL |
NPI | 1336113034 |
---|---|
Provider Name | Dr. Eric Joel Pesetsky |
First Address | Miami, FL 33137-2706 |
Second Address | Weston, FL 33331-3175 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 07/11/2018 |