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General NPI Number Information
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NPI Number | 1356487672
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Entity Type | Individual
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Provider Name | PETER JOHN MAFFETONE DC
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Gender | Male
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 10/17/2012
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Provider Practice Location Address
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Address Line | 10 NW 42ND AVE SUITE 210
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City | MIAMI
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State | FL
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Zip | 33126-5473
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Country | US
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Telephone | 305-476-9106
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Fax | 305-476-9107
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Provider Business Mailing Address
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Address Line | 3031 LAKEVIEW BOULEVARD
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City | DELRAY BEACH
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State | FL
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Zip | 33445
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Country | US
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Telephone | 561-272-2225
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH3300
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License Number State | FL
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