Jesse Shane Pelletier in North Miami Beach - Ophthalmology
Jesse Shane Pelletier - NPI 1952440372
Jesse Shane Pelletier is a Ophthalmology in North Miami Beach, Florida. Jesse Shane Pelletier practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Jesse Shane Pelletier is 1952440372. The last update date is 2012-02-02.
Jesse Shane Pelletier's current location address is 1400 Ne Miami Gardens Dr, North Miami Beach, Florida. You can contact this provider via phone number 3059401500 and fax number 3059401501. The mailing address for Jesse Shane Pelletier is 1400 Ne Miami Gardens Dr, North Miami Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jesse Shane Pelletier |
|---|---|
| Address | 1400 Ne Miami Gardens Dr, North Miami Beach, Florida |
| Phone Number | 3059401500 |
| Fax Number | 3059401501 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1952440372 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2012-02-02 |
Provider Mailing Address Detail
| Address | 1400 Ne Miami Gardens Dr |
|---|---|
| City | North Miami Beach |
| State | Florida (FL) |
| Post Code | 331794845 |
| Phone Number | 3059401500 |
| Fax Number | 3059401501 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | ME99313 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 279056400 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jesse Shane Pelletier by the Centers for Medicare & Medicaid Services?
The Jesse Shane Pelletier has been assigned the NPI (National Provider Identifier) 1952440372. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jesse Shane Pelletier is physically located?
The Jesse Shane Pelletier is physically situated at the following address: 1400 Ne Miami Gardens Dr, North Miami Beach, FL, 331794845.
What is Jesse Shane Pelletier's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jesse Shane Pelletier's area of specialization is Ophthalmology, and the corresponding taxonomy code that categorizes this field of practice is 207W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1952440372 to Jesse Shane Pelletier?
The Centers for Medicare & Medicaid Services assigned the 1952440372 to Jesse Shane Pelletier on 2007-02-05.
When was the information regarding Jesse Shane Pelletier most recently updated?
The details pertaining to the Jesse Shane Pelletier, including its address, specialty, and other relevant information, were last refreshed on 2012-02-02.
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