| Dr. Peter Stephens Inc | |
|
375 Sw 32nd St Okeechobee FL 34974-5919 | |
| (863) 763-0880 | |
| Not Available |
| Full Name | Dr. Peter Stephens Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 375 Sw 32nd St, Okeechobee, Florida |
| Authorized Official Name and Position | Peter Stephens (PRESIDENT) |
| Authorized Official Contact | 8637630880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Peter Stephens Inc 375 Sw 32nd St Okeechobee FL 34974-5919 Ph: (863) 763-0880 | Dr. Peter Stephens Inc 375 Sw 32nd St Okeechobee FL 34974-5919 Ph: (863) 763-0880 |
| NPI Number | 1477863074 |
|---|---|
| Provider Enumeration Date | 10/15/2010 |
| Last Update Date | 11/10/2010 |
| Medicare PECOS PAC ID | 1850584178 |
|---|---|
| Medicare Enrollment ID | O20101116000336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477863074 | NPI | - | NPPES |
| 88368 | Other | FL | MEDICARE BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CH 3189 (Florida) | Primary |
| Provider Name | Peter W Stephens |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1790772028 PECOS PAC ID: 5395929475 Enrollment ID: I20110414000300 |
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