Pearlstine, Ira S
Pearlstine, Ira S is an sole proprietor health care provider with primary practice located at 561 Nw Lake Whitney Pl Suite 104, Port St Lucie FL 34986-1624. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pearlstine, Ira S can be contacted via phone (772) 252-1425.Contact Information
Primary practice address
561 Nw Lake Whitney Pl Suite 104
Port St Lucie FL 34986-1624
Phone: (772) 252-1425
Fax: (772) 252-5917
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME 47037 | Florida |
Profile Details
| NPI number | 1356393912 |
|---|---|
| LBN Legal business name | Pearlstine, Ira S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2006 |
| Last updated | Nov 12th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356393912 | NPPES |
| Florida | Other | AJ126A | MEDICARE GROUP |
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