DR. PATRICIA LYNN PETERS D.O. NPI 1659379766

NPI Information

NPI: 1659379766
Provider Name: DR. PATRICIA LYNN PETERS, D.O.
Classification: Family Medicine - 207QA0505X
Entity Type: Individual

Specialization: Adult Medicine

PECOS Registration: Yes

Address:
12614 NW 23RD STREET
PEMBROKE PINES, FL
ZIP 33028
Phone: (954) 612-2112
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DR. Patricia Lynn Peters, D.O. is an adult medicine family medicine in Pembroke Pines, FL. The provider is definition to come. DR. Patricia Lynn Peters, D.O. NPI is 1659379766. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12614 NW 23RD STREET
PEMBROKE PINES, FL
ZIP 33028
Phone: (954) 612-2112
Fax: (954) 374-9270

The NPI 1659379766 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/12/2005 and was last updated on 4/5/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		OS9406	FLORIDA	No
2	207QA0505X	Family Medicine	Adult Medicine	OS9406	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	E49724	MEDICARE UPIN	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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