De Lara, Peggy L

De Lara, Peggy L is an sole proprietor health care provider with primary practice located at 2555 2Nd Ave N , St Petersburg FL 33713-8705. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant is her primary health care specialty. De Lara, Peggy L can be contacted via phone (727) 385-7528.

Contact Information

Primary practice address
2555 2Nd Ave N St Petersburg FL 33713-8705
Phone: (727) 385-7528
Fax: (727) 321-1178
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AP 1751 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA2040 Florida

Profile Details

NPI number 1598784332
LBN Legal business name De Lara, Peggy L
Credentials A.P., OMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2006
Last updated Apr 20th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598784332 NPPES
Florida Other 106898 MEDICARE ID

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