# CORAL REEF ORTHOPEDIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083752943
- **Authorized official:** DR. PETER MILLHEISER (PHYSICIAN)
- **Authorized official phone:** (305) 251-2241

## Contact information

- **Practice address:** 9299 CORAL REEF DR, MIAMI, CA 33157
- **Practice address phone:** (305) 251-2241
- **Mailing address:** 3607 OLD CONEJO RD, THOUSAND OAKS, CA 91320-2123
- **Mailing address phone:** (805) 375-0800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | AM2718825 | FL | Yes |

## Other

- **Enumeration date:** 02/02/2007
- **Last updated:** 08/22/2020