Individual
DR. CARL L. PEARSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2122 W NINE MILE RD, PENSACOLA, FL 32534-9464
(850) 473-5555
(850) 473-5505
Mailing address
2122 W NINE MILE RD, PENSACOLA, FL 32534-9464
(850) 473-5555
(850) 473-5505
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH11561
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH11561
FLORIDA CHIROPRACTIC LICENSE
FL
01
—
IM259Z
MEDICARE PTAN
FL
Enumeration date
06/25/2008
Last updated
03/11/2021
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