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Individual
DR. PETER J WAKEMAN
Active
Individual
DR. PETER J WAKEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH5831
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050602800
—
FL
01
—
22266
BCBS
FL
01
—
P00103322
RAILROAD MEDICARE PIN
FL
Enumeration date
12/21/2005
Last updated
04/03/2018
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