Provider Demographics
NPI:1346487907
Name:BILSKER PEARL, RHONDA AVERY (DOM)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:AVERY
Last Name:BILSKER PEARL
Suffix:
Gender:F
Credentials:DOM
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:BILSKER
Other - Last Name:PEARL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:6662 PARKSIDE DRIVE
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33067
Mailing Address - Country:US
Mailing Address - Phone:954-796-1272
Mailing Address - Fax:954-340-8925
Practice Address - Street 1:6662 PARKSIDE DRIVE
Practice Address - Street 2:
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33067
Practice Address - Country:US
Practice Address - Phone:954-796-1272
Practice Address - Fax:954-340-8925
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-19
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00097000171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist