Healthcare Provider Details

I. General information

NPI: 1437343639
Provider Name (Legal Business Name): PEARSON WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2007
Last Update Date: 10/28/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 US HIGHWAY 1 SUITE 46
N PALM BEACH FL
33408-3550
US

IV. Provider business mailing address

1201 US HIGHWAY 1 SUITE 46
N PALM BEACH FL
33408-3550
US

V. Phone/Fax

Practice location:
  • Phone: 561-290-7244
  • Fax: 561-629-7291
Mailing address:
  • Phone: 561-290-7244
  • Fax: 561-629-7291

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH7585
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME83846
License Number StateFL

VIII. Authorized Official

Name: DR. JULIE K PEARSON
Title or Position: OWNER/DOCTOR
Credential: DC
Phone: 561-290-7244