Provider / Organization | NPI | Date Certified |
---|---|---|
RYAN JOHN PEARSON | 1548889561 | 2023-05-07 |
Ryan John Pearson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1548889561. Registration indicates Ryan John Pearson is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) Access to Adult/Geriatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine, ) (Allopathic & Osteopathic Physicians, Internal Medicine) (Primary Care/Family Planning/APRN/PA, ) (Internal Medicine, Allopathic & Osteopathic Physicians)
Entity Type | Individual |
Provider Name | Ryan John Pearson |
Practice Office Address | 1600 S ANDREWS AVE FORT LAUDERDALE, FL US |
Practice Office Telephone | 9543554400 |
Mailing Address | 490 NE 5TH AVE 4116 FT. LAUDERDALE, FL 33301 US |
Business Telephone | 4129940775 |
Code | Practice | License No State |
---|---|---|
390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | UO4856
FL |
207R00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Internal MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine Allopathic & Osteopathic Physicians Internal Medicine Primary Care/Family Planning/APRN/PA Internal Medicine Allopathic & Osteopathic Physicians | OS022579
PA |