# PEARSON FACIAL PLASTIC SURGERY PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fleming Island Ear, Nose & Throat
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780739482
- **Authorized official:** DR. DAVID CRAIG PEARSON M.D. (PRESIDENT)
- **Authorized official phone:** (904) 215-7377

## Contact information

- **Practice address:** 1835 EAST WEST PARKWAY, SUITE 19, ORANGE PARK, FL 32003
- **Practice address phone:** (904) 215-7377
- **Practice address fax:** (904) 215-7350
- **Mailing address:** 1835 EAST WEST PARKWAY, SUITE 19, ORANGE PARK, FL 32003
- **Mailing address phone:** (904) 215-7377
- **Mailing address fax:** (904) 215-7350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | ME80556 | FL | Yes |

## Other

- **Enumeration date:** 01/24/2007
- **Last updated:** 05/09/2008