Pierce, Douglas Kimball
Pierce, Douglas Kimball is an individual health care provider with primary practice located at 8787 Bryan Dairy Rd #360, Largo FL 33777-1251. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Pierce, Douglas Kimball can be contacted via phone (727) 393-4900.Contact Information
Primary practice address
8787 Bryan Dairy Rd #360
Largo FL 33777-1251
Phone: (727) 393-4900
Fax: (727) 393-4910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | FL0051303 | Florida |
Profile Details
| NPI number | 1528194453 |
|---|---|
| LBN Legal business name | Pierce, Douglas Kimball |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Jun 28th, 2010 - about 16 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 | 1528194453 | NPPES |
| Florida | MEDICAID | 048485701 |
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