Organization
SCOTT M PEARL OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT M. PEARL O.D. (PRESIDENT)
(954) 430-8330
Entity
Organization
Contact information
Practice address
18503 PINES BLVD, SUITE 205, PEMBROKE PINES, FL 33029-1404
(954) 430-8330
Mailing address
18503 PINES BLVD, SUITE 205, PEMBROKE PINES, FL 33029-1404
(954) 430-8330
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1954
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084946400
—
FL
Enumeration date
05/07/2007
Last updated
08/28/2014
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