Healthcare Provider Details

I. General information

NPI: 1538807664
Provider Name (Legal Business Name): SYDNI PIERSON PA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2022
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2605 W ATLANTIC AVE STE D204
DELRAY BEACH FL
33445-4418
US

IV. Provider business mailing address

2605 W ATLANTIC AVE STE D204
DELRAY BEACH FL
33445-4418
US

V. Phone/Fax

Practice location:
  • Phone: 561-819-5822
  • Fax: 561-819-5823
Mailing address:
  • Phone: 561-819-5822
  • Fax: 561-819-5823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: