Selassie, Peter G
Selassie, Peter G is an individual health care provider with primary practice located at 1061 Medical Center Dr Suite 110, Orange City FL 32763-8200. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Selassie, Peter G can be contacted via phone (386) 774-1223.Contact Information
Primary practice address
1061 Medical Center Dr Suite 110
Orange City FL 32763-8200
Phone: (386) 774-1223
Fax: (386) 774-4658
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ME36870 | Florida |
Profile Details
| NPI number | 1346298759 |
|---|---|
| LBN Legal business name | Selassie, Peter G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Apr 23rd, 2010 - about 16 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 | 1346298759 | NPPES |
| Florida | MEDICAID | 069666800 |
Popular Providers
-
Levasseur, Sara
2510 Outer Cape St 208, Orange City FL 32763-8244 -
Garcia, Myrna A
2540 N Volusia Ave , Orange City FL 32763-2842 -
Freeman, April Lynn
2415 S Volusia Ave Suite A2, Orange City FL 32763-7623 -
Cohn, Eric A
2850 Wellness Ave , Orange City FL 32763-8395 -
Sharma, Neeraj
2776 Enterprise Rd Ste 100 , Orange City FL 32763-8316 -
Iravani, Abdollah None
2106 N. Orange Ave Suite 100, Orange FL 32804 -
Cabeza, Rene
2776 Enterprise Rd # 100, Orange City FL 32763-8200 -
Nair, Santosh M
2776 Enterprise Road Suite 100, Orange City FL 32763-8316