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NPI Code Detail

MEDICARE: EALISHA PIERRE

MEDICARE: EALISHA PIERRE
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
11041C0700XClinical Social WorkerSW23139FL

General Provider Information

NPI Number : 1609619097
Entity Type Code : Individual
Provider Name (Legal Business Name) : EALISHA PIERRE
Provider Business Mailing Address
First Line : 6990 GRIFFIN RD
Second Line :
City : DAVIE
State : FL
Zip : 33314-4345
Country : US
Telephone Number : 754-248-9589
Fax Number :
Provider Business Practice Location Address
First Line : 6990 GRIFFIN RD
Second Line :
City : DAVIE
State : FL
Zip : 33314-4345
Country : US
Telephone Number : 754-248-9589
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2024
Last Update Date : 06/14/2024

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Directions to “ EALISHA PIERRE ” Practice Location

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