Peltzer, Bradley Alan

Peltzer, Bradley Alan is an individual health care provider with primary practice located at 5952 W 16Th Ave Advanced Eye Care Of Hialeah, Pa, Hialeah FL 33012-6814. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Peltzer, Bradley Alan can be contacted via phone (305) 556-6946.

Contact Information

Primary practice address
5952 W 16Th Ave Advanced Eye Care Of Hialeah, Pa Hialeah FL 33012-6814
Phone: (305) 556-6946
Fax: (305) 825-0845
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC2646 Florida

Profile Details

NPI number 1396776340
LBN Legal business name Peltzer, Bradley Alan
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Sep 9th, 2011 - about 15 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 1396776340 NPPES
Florida MEDICAID 078929100

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