MEDICARE: AUXI PEACHEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME 96623	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME 96623	OTHER	FL	MEDICAL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356439509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUXI PEACHEY MD

Provider Business Mailing Address
First Line	:	11870 DOWNY BIRCH DR
Second Line	:
City	:	RIVERVIEW
State	:	FL
Zip	:	33569-5515
Country	:	US
Telephone Number	:	305-934-1834
Fax Number	:

Provider Business Practice Location Address
First Line	:	11924 BALM RIVERVIEW RD
Second Line	:
City	:	RIVERVIEW
State	:	FL
Zip	:	33569-6601
Country	:	US
Telephone Number	:	813-672-3200
Fax Number	:	813-672-3202

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	09/21/2022

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Directions to “ AUXI PEACHEY MD” Practice Location

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