Individual
PIERRE ETIENNE PEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1957 JACKSON ST, HOLLYWOOD, FL 33020-5021
(954) 927-2393
(954) 497-3857
Mailing address
4740 N STATE ROAD 7, LAUDERDALE LAKES, FL 33319-5839
(954) 486-4005
(954) 497-3857
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME0062634
FL
2084P0800X
Psychiatry Physician
Primary
ME62364
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371158700
—
FL
Enumeration date
02/24/2007
Last updated
11/16/2017
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