Healthcare Provider Details

I. General information

NPI: 1003740309
Provider Name (Legal Business Name): SHEERE ANN PEARSON
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16401 NW 37TH AVE
MIAMI GARDENS FL
33054-6313
US

IV. Provider business mailing address

331 N 66TH TER
HOLLYWOOD FL
33024-7627
US

V. Phone/Fax

Practice location:
  • Phone: 561-543-3210
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11048194
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: