Penico Iii, Peter E.

Penico Iii, Peter E. is an individual health care provider with primary practice located at 2020 59Th St W , Bradenton FL 34209-4604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Penico Iii, Peter E. can be contacted via phone (941) 798-6303.

Contact Information

Primary practice address
2020 59Th St W Bradenton FL 34209-4604
Phone: (941) 798-6303
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME36495 Florida

Profile Details

NPI number 1982657979
LBN Legal business name Penico Iii, Peter E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Mar 14th, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1982657979 NPPES
Florida Other 41193 BCBS
Florida MEDICAID 036286700 BCBS

Popular Providers