MEDICARE: ALAN DAVID PIERCE MD

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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	ME0044801	FL
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	MD9166	SC

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
2	MD9166	OTHER	SC	MEDICAL LICENSE
3	ME44801	OTHER	FL	MEDICAL LICENSE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912971268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAN DAVID PIERCE MD

Provider Business Mailing Address
First Line	:	2030 W MCNAB RD
Second Line	:	STE 2
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33309-1002
Country	:	US
Telephone Number	:	954-633-1010
Fax Number	:	954-633-1024

Provider Business Practice Location Address
First Line	:	10101 FOREST HILL BLVD
Second Line	:	WELLINGTON REG MED CENTER PATHOLOGY DEPT
City	:	WELLINGTON
State	:	FL
Zip	:	33414-6103
Country	:	US
Telephone Number	:	561-798-8568
Fax Number	:	561-798-8645

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

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	08/14/2014

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Directions to “ ALAN DAVID PIERCE MD” Practice Location

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