Organization
GARY PEARCE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY PEARCE M.D. (OWNER)
(863) 465-1880
Entity
Organization
Contact information
Practice address
211 US 27 S, LAKE PLACID, FL 33852-7920
(863) 465-1880
Mailing address
211 US 27 S, LAKE PLACID, FL 33852-7920
(863) 465-1880
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME45565
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6685320001
NATIONAL SUPPLIER CLEARINGHOUSE
SC
Enumeration date
06/25/2011
Last updated
03/15/2024
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