Oostwouder, Peter Henry
Oostwouder, Peter Henry is an individual health care provider with primary practice located at 4930 E Lake Mary Blvd , Sanford FL 32771-5003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Oostwouder, Peter Henry can be contacted via phone (407) 322-8645.Contact Information
Primary practice address
4930 E Lake Mary Blvd
Sanford FL 32771-5003
Phone: (407) 322-8645
Fax: (407) 322-8725
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME54678 | Florida |
Profile Details
| NPI number | 1780681247 |
|---|---|
| LBN Legal business name | Oostwouder, Peter Henry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Sep 3rd, 2020 - about 4 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 | 1780681247 | NPPES |
| Florida | MEDICAID | 061660500 |
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