Peller, Craig Allen

Peller, Craig Allen is an individual health care provider with primary practice located at 301 Nw 84Th Ave Suite 202, Plantation FL 33324-1807. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Peller, Craig Allen can be contacted via phone (954) 370-1841.

Contact Information

Primary practice address
301 Nw 84Th Ave Suite 202 Plantation FL 33324-1807
Phone: (954) 370-1841
Fax: (954) 370-9586
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME58287 Florida

Profile Details

NPI number 1548255953
LBN Legal business name Peller, Craig Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Oct 10th, 2012 - about 12 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 1548255953 NPPES
Florida MEDICAID 372270800

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