Komatz, Peter
Komatz, Peter is an individual health care provider with primary practice located at 1240 S Old Dixie Hwy Floor 2 , Jupiter FL 33458-8554. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Komatz, Peter can be contacted via phone (561) 263-4400.Contact Information
Primary practice address
1240 S Old Dixie Hwy Floor 2
Jupiter FL 33458-8554
Phone: (561) 263-4400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP2914192 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP 2914192 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 813635 | Nevada |
Profile Details
| NPI number | 1164442836 |
|---|---|
| LBN Legal business name | Komatz, Peter |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | May 23rd, 2024 - about 4 months 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 | 1164442836 | NPPES |
| Florida | Other | 370760 | AVMED |
| Florida | Other | P306625 | AVMED |
| Florida | Other | P302336 | AVMED |
| Florida | Other | 12444 | AVMED |
| Florida | MEDICAID | 3088511-00 | AVMED |
| Florida | Other | P0022953 | AVMED |
| Florida | Other | P01593271 | AVMED |
| Florida | Other | 788049 | AVMED |
| Florida | Other | 9352274 | AVMED |
| Florida | Other | 1127401 | AVMED |
| Florida | Other | 1193321 | AVMED |
| Florida | Other | P00808198 | AVMED |
| Florida | Other | Y03Q8 | AVMED |
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