# PETER TOMASELLO D O P A

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

## Provider details

- **NPI number:** 1205148798
- **Authorized official:** PETER A TOMASELLO JR. DO (OWNER)
- **Authorized official phone:** (954) 454-9091

## Contact information

- **Practice address:** 1724 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-4611
- **Practice address phone:** (954) 454-9091
- **Practice address fax:** (954) 454-1711
- **Mailing address:** PO BOX 220371, HOLLYWOOD, FL 33022-0371
- **Mailing address phone:** (954) 454-9091
- **Mailing address fax:** (954) 454-1711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/13/2010
- **Last updated:** 07/13/2010