Wallach, Peter Michael

Wallach, Peter Michael is an individual health care provider with primary practice located at 1480 N University Dr , Coral Springs FL 33071-6040. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Wallach, Peter Michael can be contacted via phone (954) 753-1030.

Contact Information

Primary practice address
1480 N University Dr Coral Springs FL 33071-6040
Fax: (954) 753-1115
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME0029164 Florida

Profile Details

NPI number 1710987391
LBN Legal business name Wallach, Peter Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Jul 15th, 2010 - about 14 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 1710987391 NPPES
Florida Other 0008978 GHI PROVIDER ID
Florida Other 406073297 GHI PROVIDER ID
Florida Other 0706177 GHI PROVIDER ID
Florida MEDICAID 057349300 GHI PROVIDER ID
Florida Other 4958275 GHI PROVIDER ID

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