Peller, Owen G
Peller, Owen G is an sole proprietor health care provider with primary practice located at 350 Nw 84Th Ave Ste 200 , Plantation FL 33324-1847. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Peller, Owen G can be contacted via phone (954) 424-4321.Contact Information
Primary practice address
350 Nw 84Th Ave Ste 200
Plantation FL 33324-1847
Phone: (954) 424-4321
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME53245 | Florida |
Profile Details
| NPI number | 1881665461 |
|---|---|
| LBN Legal business name | Peller, Owen G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2006 |
| Last updated | Jul 19th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881665461 | NPPES |
| Florida | MEDICAID | 371831000 |
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