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Organization
KOSTIYA PEKI MD PA
Active
Organization
KOSTIYA PEKI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY PEKI R.N. (ADMINISTRATOR)
(786) 445-0810
Entity
Organization
Contact information
Practice address
9000 SW 152ND ST, SUITE 105, PALMETTO BAY, FL 33157-1981
(786) 445-0810
Mailing address
9000 SW 152ND ST, SUITE 105, PALMETTO BAY, FL 33157-1981
(786) 445-0810
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME95910
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277983800
—
FL
Enumeration date
03/24/2009
Last updated
05/01/2012
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