MEDICARE: MR. PETER ARTHUR RADICE M.D.

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	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	35.135935	OH
2	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	ME38243	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	30353	OTHER	FL	FL BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356339170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PETER ARTHUR RADICE M.D.

Provider Business Mailing Address
First Line	:	6804 CECELIA DR
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34653-4935
Country	:	US
Telephone Number	:	855-232-0644
Fax Number	:	888-546-0488

Provider Business Practice Location Address
First Line	:	6804 CECELIA DR
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34653-4935
Country	:	US
Telephone Number	:	855-232-0644
Fax Number	:	888-546-0488

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

Provider Enumeration Date	:	10/06/2005
Last Update Date	:	05/08/2025

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