Organization
HARVEY A PEARL DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARVEY A PEARL DPM PA (OWNER / PRESIDENT)
(904) 737-4166
Entity
Organization
Contact information
Practice address
2324 UNIVERSITY BLVD W, JACKSONVILLE, FL 32217-2021
(904) 737-4166
(904) 737-4322
Mailing address
2324 UNIVERSITY BLVD W, JACKSONVILLE, FL 32217-2021
(904) 737-4166
(904) 737-4322
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041275900
—
FL
Enumeration date
11/03/2014
Last updated
12/18/2014
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