Pittack, Junior William

Pittack, Junior William is an individual health care provider with primary practice located at 4175 W 20Th Ave , Hialeah FL 33012-5874. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Pittack, Junior William can be contacted via phone (305) 825-0300.

Contact Information

Primary practice address
4175 W 20Th Ave Hialeah FL 33012-5874
Phone: (305) 825-0300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME89943 Florida
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X ME89943 Florida

Profile Details

NPI number 1023053931
LBN Legal business name Pittack, Junior William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Oct 15th, 2013 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023053931 NPPES
Florida MEDICAID 275495900

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