Peebles, Matthew N

Peebles, Matthew N is an individual health care provider with primary practice located at 10050 Sw Innovation Way , Port St Lucie FL 34987-2117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Peebles, Matthew N can be contacted via phone (772) 344-3811.

Contact Information

Primary practice address
10050 Sw Innovation Way Port St Lucie FL 34987-2117
Phone: (772) 344-3811
Fax: (772) 344-3890
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME0077690 Florida

Profile Details

NPI number 1528066958
LBN Legal business name Peebles, Matthew N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Oct 9th, 2014 - about 10 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 1528066958 NPPES
Florida MEDICAID 267042900

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