Provider Demographics
NPI:1437289022
Name:PEARL, TINA DAWN (DC)
Entity Type:Individual
Prefix:DR
First Name:TINA
Middle Name:DAWN
Last Name:PEARL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8603 S DIXIE HWY
Mailing Address - Street 2:SUITE 411
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-7807
Mailing Address - Country:US
Mailing Address - Phone:305-595-4681
Mailing Address - Fax:305-273-9584
Practice Address - Street 1:8603 S DIXIE HWY
Practice Address - Street 2:SUITE 411
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-7807
Practice Address - Country:US
Practice Address - Phone:305-595-4681
Practice Address - Fax:305-273-9584
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8922111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor