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NPI Code Detail

MEDICARE: PETER ELVIN

MEDICARE: PETER ELVIN
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1316895659
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER ELVIN
Provider Business Mailing Address
First Line : 2801 N STATE ROAD 7
Second Line :
City : MARGATE
State : FL
Zip : 33063-5727
Country : US
Telephone Number : 954-974-0400
Fax Number :
Provider Business Practice Location Address
First Line : 2801 N STATE ROAD 7
Second Line :
City : MARGATE
State : FL
Zip : 33063-5727
Country : US
Telephone Number : 954-974-0400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2026
Last Update Date : 03/20/2026

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Directions to “ PETER ELVIN ” Practice Location

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