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NPI Code Detail

MEDICARE: PETER J SHULMAN MD

MEDICARE: PETER J SHULMAN 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
1208000000XPediatrics PhysicianME24907FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861489619
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER J SHULMAN MD
Provider Business Mailing Address
First Line : 900 S PINE ISLAND RD
Second Line : STE 800
City : PLANTATION
State : FL
Zip : 33324-3920
Country : US
Telephone Number : 954-424-7000
Fax Number : 954-424-6003
Provider Business Practice Location Address
First Line : 9611 W BROWARD BLVD
Second Line :
City : PLANTATION
State : FL
Zip : 33324-2334
Country : US
Telephone Number : 954-424-7000
Fax Number : 954-424-6003
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2005
Last Update Date : 06/19/2014

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Directions to “ PETER J SHULMAN MD” Practice Location

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