# PETER RUGGIERO MD PA

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

## Provider details

- **NPI number:** 1265573414
- **Authorized official:** PETER RUGGIERO M.D. (CEO)
- **Authorized official phone:** (407) 644-1111

## Contact information

- **Practice address:** 1200 W SR 434 STE 112, LONGWOOD, FL 32750-4957
- **Practice address phone:** (407) 869-8747
- **Practice address fax:** (407) 869-8108
- **Mailing address:** 1200 W SR 434 STE 112, LONGWOOD, FL 32750-4957
- **Mailing address phone:** (407) 869-8747
- **Mailing address fax:** (407) 869-8108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | ME0073282 | FL | Yes |

## Other

- **Enumeration date:** 02/09/2007
- **Last updated:** 08/19/2024