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1083046346 NPI number — MARGARET LEIGH ANN PECK ARNP, FNP-BC

NPI Number: 1083046346
Health Care Provider/Practitioner: MARGARET LEIGH ANN PECK ARNP, FNP-BC

Information about “1083046346” NPI (MARGARET LEIGH ANN PECK ARNP, FNP-BC) exists in 1083046346 in HTML format HTML  |  1083046346 in plain Text format TXT  |  1083046346 in PDF (Portable Document Format) PDF  |  1083046346 in an XML format XML  formats.

NPI Number : 1083046346 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083046346",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PECK",
    "FirstName": "MARGARET",
    "MiddleName": "LEIGH ANN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "ARNP, FNP-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "STACHOWIAK",
    "OtherFirstName": "MARGARET",
    "OtherMiddleName": "LEIGH ANN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "6101 BLUE LAGOON DR STE 200",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MIAMI",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33126-3168",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "305-500-2000",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4090 S RIDGEWOOD AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PORT ORANGE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32127-4501",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "386-761-0050",
    "PracticeLocationAddressFaxNumber": "386-761-1167",
    "EnumerationDate": "08/08/2013",
    "LastUpdateDate": "02/17/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "ARNP9166681",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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