Individual provider · Type 1 NPI

Patricia Lynn Peters, DO

Adult Medicine Physician · Pembroke Pines, FL

NPI number 1659379766 Active

Practice location

12614 NW 23rd Street
Pembroke Pines, FL 33028

Fax (954) 374-9270

Mailing address

12614 NW 23rd St
Pembroke Pines, FL 33028-2541

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XOS9406 (FL)
Adult Medicine Physician Primary 207QA0505XOS9406 (FL)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1659379766

Patricia Lynn Peters, DO's National Provider Identifier is 1659379766, issued on Jul 12, 2005. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Pembroke Pines, FL. The record was last updated on Apr 5, 2013.