MEDICARE: EDWARD W PELOTE 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	207R00000X	Internal Medicine Physician	ME93493	FL

General Provider Information

NPI Number	:	1386675767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD W PELOTE M.D.

Provider Business Mailing Address
First Line	:	1905 S 25TH ST
Second Line	:	SUITE 100
City	:	FORT PIERCE
State	:	FL
Zip	:	34947-4739
Country	:	US
Telephone Number	:	772-465-9901
Fax Number	:	772-465-9807

Provider Business Practice Location Address
First Line	:	1905 S 25TH ST
Second Line	:	SUITE 100
City	:	FORT PIERCE
State	:	FL
Zip	:	34947-4739
Country	:	US
Telephone Number	:	772-465-9901
Fax Number	:	772-465-9807

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

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	09/27/2007

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