| Doctor Name: | JEAN BERLONGE PIERRE |
| NPI Number: | 1255769246 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 18580 |
| Business Practice Address: | 700 1st St S Winter Haven, FL - 338803605 |
| Business Phone Number: | 8632265589 |
| Business Fax Number: | |
| Mailing Address: | 2341 Pine Tree Dr, MIRAMAR |
| State: | FL |
| Postal Code: | 330234549 |
| Phone Number: | 9542355829 |
| Fax Number: | |
| NPI Enumeration Date: | 10/29/2013 |
| NPI Last Update Date: | 10/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 18580 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |