Male or Other

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

Provider Address

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