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NPI Code Detail

MEDICARE: DR. EDGAR TUGAOEN DE PERALTA MD

MEDICARE:  DR. EDGAR TUGAOEN DE PERALTA  MD
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
12084N0400XNeurology PhysicianME 107665FL
22084N0400XNeurology Physician242297NY

General Provider Information

NPI Number : 1679768501
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDGAR TUGAOEN DE PERALTA MD
Provider Business Mailing Address
First Line : 255 EVERNIA ST APT 311
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-5680
Country : US
Telephone Number : 888-464-2466
Fax Number : 410-740-1518
Provider Business Practice Location Address
First Line : 529 S FLAGLER DR APT 6E
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-5927
Country : US
Telephone Number : 410-666-2588
Fax Number : 410-740-1518
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2007
Last Update Date : 12/18/2023

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Directions to “ DR. EDGAR TUGAOEN DE PERALTA MD” Practice Location

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