PEARSON FACIAL PLASTIC SURGERY PA NPI 1780739482

NPI Information

  • NPI: 1780739482
  • Provider Name: PEARSON FACIAL PLASTIC SURGERY PA
  • Classification: Otolaryngology - 207YX0905X
  • Specialization: Otolaryngology/Facial Plastic Surgery
  • Entity Type: Organization
  • Doing Business As: FLEMING ISLAND EAR, NOSE & THROAT
  • Address: 1835 EAST WEST PARKWAY
    SUITE 19
    ORANGE PARK, FL
    ZIP 32003
  • Phone: (904) 215-7377

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NPI Details

PEARSON FACIAL PLASTIC SURGERY PA is an otolaryngology/facial plastic surgery otolaryngology in Orange Park, FL. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. PEARSON FACIAL PLASTIC SURGERY PA NPI is 1780739482. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Fleming Island Ear, Nose & Throat.

The provider's business location address is:

1835 EAST WEST PARKWAY
SUITE 19
ORANGE PARK, FL
ZIP 32003
Phone: (904) 215-7377
Fax: (904) 215-7350

The provider's authorized official is David Craig Pearson .
The authorized official title is President and has the following contact phone number (904) 215-7377.

The enumeration date for this NPI number is 1/24/2007 and was last updated on 5/9/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryME80556FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G42731MEDICARE UPINFLORIDA
2K6912MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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