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NPI Code Detail

MEDICARE: PETER GUSKE

MEDICARE: PETER GUSKE
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
1225100000XPhysical Therapist5521FL

General Provider Information

NPI Number : 1285882472
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER GUSKE
Provider Business Mailing Address
First Line : 314 VIA TUSCANY LOOP
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-1545
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 820 COMMED BLVD
Second Line :
City : ORANGE CITY
State : FL
Zip : 32763-8321
Country : US
Telephone Number : 386-775-7488
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2008
Last Update Date : 08/31/2008

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Directions to “ PETER GUSKE ” Practice Location

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