Individual
DR. HEIDI A PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
409 BAYSHORE BLVD, TAMPA, FL 33606-2707
(800) 844-9302
(813) 844-1655
Mailing address
409 BAYSHORE BLVD, TAMPA, FL 33606-2707
(800) 844-9302
(813) 844-1655
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
ME104155
FL
208600000X
Surgery Physician
ME104155
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001237100
—
FL
01
—
CD600Y
MEDICARE PTAN
FL
Enumeration date
09/17/2008
Last updated
06/08/2021
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