Peter A Koretsky Md Pa

LBN: Peter A Koretsky Md Pa
Peter A Koretsky Md Pa is an health care organization with primary practice located at 2955 Pineda Plaza Way Ste 115 , Melbourne FL 32940-7306. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Peter A Koretsky Md Pa can be contacted via phone (321) 254-7375, or through Koretsky, Peter A via phone (321) 254-7375.

Contact Information

Primary practice address
2955 Pineda Plaza Way Ste 115 Melbourne FL 32940-7306
Phone: (321) 254-7375
Fax: (321) 254-7145
Website:
Map and Directions
Authorized official contact:
Name: Koretsky, Peter A Doctor of Medicine (MD)
Phone: (321) 254-7375

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X

Profile Details

NPI number 1124117791
LBN Legal business name Peter A Koretsky Md Pa
DBA Doing business as
Authorized official Koretsky, Peter A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2006
Last updated Mar 28th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124117791 NPPES
Florida MEDICAID 2734737

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