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NPI Code Detail

MEDICARE: DR. PETER CORRENTI JR. DO

MEDICARE:  DR. PETER  CORRENTI JR. DO
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
1207RC0000XCardiovascular Disease PhysicianOS20057FL
2207RC0000XCardiovascular Disease PhysicianOS006539LPA

Other Identifiers

General Provider Information

NPI Number : 1487659421
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER CORRENTI JR. DO
Provider Business Mailing Address
First Line : 16966 CAGAN RIDGE BLVD STE 200
Second Line :
City : CLERMONT
State : FL
Zip : 34714-9656
Country : US
Telephone Number : 321-841-6444
Fax Number : 407-290-2118
Provider Business Practice Location Address
First Line : 16966 CAGAN RIDGE BLVD STE 200
Second Line :
City : CLERMONT
State : FL
Zip : 34714-9656
Country : US
Telephone Number : 321-841-6444
Fax Number : 407-290-2118
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 07/02/2024

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Directions to “ DR. PETER CORRENTI JR. DO” Practice Location

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