Provider Demographics
NPI:1801913298
Name:PEARSON, MARJI LEE (AP)
Entity type:Individual
Prefix:MS
First Name:MARJI
Middle Name:LEE
Last Name:PEARSON
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
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Mailing Address - Street 1:401 RIVIERA ISLE DR
Mailing Address - Street 2:402
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-2672
Mailing Address - Country:US
Mailing Address - Phone:786-385-8629
Mailing Address - Fax:954-533-2009
Practice Address - Street 1:4800 NE 20TH TER
Practice Address - Street 2:201S
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-4510
Practice Address - Country:US
Practice Address - Phone:786-385-8629
Practice Address - Fax:954-533-2009
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAP2334171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist