MEDICARE: ROBERT J PEARL D.O.

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	207VG0400X	Gynecology Physician	OS10079	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083683122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT J PEARL D.O.

Provider Business Mailing Address
First Line	:	1725 N UNIVERSITY DR
Second Line	:	SUITE 440
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-6089
Country	:	US
Telephone Number	:	954-755-1300
Fax Number	:	954-755-7799

Provider Business Practice Location Address
First Line	:	1725 N UNIVERSITY DR
Second Line	:	SUITE 440
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-6089
Country	:	US
Telephone Number	:	954-755-1300
Fax Number	:	954-755-7799

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

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	04/27/2011

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