MEDICARE: MRS. BOBBIE SUE PEARSON NP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP2300X	Primary Care Nurse Practitioner	APRN11007880	FL

General Provider Information

NPI Number	:	1740552439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BOBBIE SUE PEARSON NP-C

Provider Business Mailing Address
First Line	:	9375 EMERALD COAST PKWY W STE 27A
Second Line	:
City	:	MIRAMAR BEACH
State	:	FL
Zip	:	32550-7222
Country	:	US
Telephone Number	:	850-353-2743
Fax Number	:	850-373-4875

Provider Business Practice Location Address
First Line	:	9375 EMERALD COAST PKWY W STE 27A
Second Line	:
City	:	MIRAMAR BEACH
State	:	FL
Zip	:	32550-7222
Country	:	US
Telephone Number	:	850-353-2743
Fax Number	:	850-373-4875

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2012
Last Update Date	:	08/20/2025

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