Junior W. Pittack MD
Psychiatry Physician in Hialeah, FL(View on Map)
Full Name
Junior William Pittack MD
NPI Number
1023053931
NPI Type
Individual Provider
Gender
Male
Enumeration Date
06/17/2006
Specialties
(Taxonomies)Code
2084P0800X
2084P0804X
Primary Taxonomy
Yes
No
Licenses
State
Florida
License Number
ME89943
Contact
Information
Purpose
Mailing
Location
Address
11320 SW 112TH CIRCLE LN E
4175 W 20TH AVE
City
Miami
Hialeah
State
FL
FL
Postal Code
33176-3861
33012-5874
Country
US
US
Telephone Number
(305) 254-5961
(305) 825-0300
Identifiers
Identifier
275495900
Identifier State
FL
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/15/2013