Individual
ELLIOT JAY PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
927 45TH ST STE 206, MANGONIA PARK, FL 33407-2450
(561) 844-8354
Mailing address
5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2423
(305) 661-1515
(305) 663-5948
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
ME 124178
FL
390200000X
Student in an Organized Health Care Education/Training Program
14013
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015218400
—
FL
Enumeration date
06/18/2009
Last updated
03/24/2021
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