Pro Sports

LBN: Peter G Wernicki M D P A
Pro Sports is an health care organization with primary practice located at 787 37Th St Ste E200 , Vero Beach FL 32960-7306. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Peter G Wernicki M D P A can be contacted via phone (772) 978-7808, or through Mullikin, Amanda P via phone (772) 978-7808.

Contact Information

Primary practice address
787 37Th St Ste E200 Vero Beach FL 32960-7306
Fax: (772) 978-9320
Website:
Authorized official contact:
Name: Mullikin, Amanda P

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X

Profile Details

NPI number 1063441731
LBN Legal business name Peter G Wernicki M D P A
DBA Doing business as Pro Sports
Authorized official Mullikin, Amanda P
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2006
Last updated Aug 10th, 2022 - about 2 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 1063441731 NPPES
Florida MEDICAID 266151900
Florida Other 45408

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