Verrill, Peter S

Verrill, Peter S is an sole proprietor health care provider with primary practice located at 440 E Central Ave , Winter Haven FL 33880-3050. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Verrill, Peter S can be contacted via phone (863) 294-0670.

Contact Information

Primary practice address
440 E Central Ave Winter Haven FL 33880-3050
Fax: (863) 298-3200
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X ME28593 Florida

Profile Details

NPI number 1578532313
LBN Legal business name Verrill, Peter S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2006
Last updated May 20th, 2008 - about 17 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 1578532313 NPPES
Florida Other 010023100 MEDICARE ID/RRM PIN
Florida MEDICAID 056658600 MEDICARE ID/RRM PIN

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