Provider Demographics
NPI:1659775179
Name:GERALD PIERRE,MD LLC
Entity Type:Organization
Organization Name:GERALD PIERRE,MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERRE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-278-6434
Mailing Address - Street 1:9435 SW 144TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-6821
Mailing Address - Country:US
Mailing Address - Phone:305-278-6434
Mailing Address - Fax:305-252-5881
Practice Address - Street 1:9435 SW 144TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-6821
Practice Address - Country:US
Practice Address - Phone:305-278-6434
Practice Address - Fax:305-252-5881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-13
Last Update Date:2014-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty