Individual
BETH S PEARCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
ONE ORTHOPAEDIC PLACE, ST AUGUSTINE, FL 32086-4202
(904) 825-0540
(904) 209-1055
Mailing address
ONE ORTHOPAEDIC PLACE, ST AUGUSTINE, FL 32086-4202
(904) 825-0540
(904) 209-1055
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
PO1513
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO1513
FL
213ES0131X
Foot Surgery Podiatrist
PO1513
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174540001
DMERC
FL
Enumeration date
01/23/2006
Last updated
02/27/2009
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