Taraschi, Peter William

Taraschi, Peter William is an individual health care provider with primary practice located at 6100 Minton Rd Nw Ste 102, Palm Bay FL 32907-1975. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Taraschi, Peter William can be contacted via phone (321) 724-1171.

Contact Information

Primary practice address
6100 Minton Rd Nw Ste 102 Palm Bay FL 32907-1975
Phone: (321) 724-1171
Fax: (321) 724-9024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X OS4958 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS4958 Florida

Profile Details

NPI number 1780660852
LBN Legal business name Taraschi, Peter William
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Feb 21st, 2024 - about 2 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 1780660852 NPPES
Florida Other 22802 WELLCARE
Florida Other 4074220 WELLCARE
Florida Other 010055010 WELLCARE
Florida MEDICAID 120527400 WELLCARE
Florida Other 82901 WELLCARE
Florida Other 9062915005 WELLCARE
Florida Other 2138296 WELLCARE
Florida MEDICAID 257321100 WELLCARE

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