Individual
PETER H SHIH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1005 MAR WALT DR, FORT WALTON BEACH, FL 32547-6707
(850) 243-0118
(850) 243-0594
Mailing address
1005 MAR WALT DR, FORT WALTON BEACH, FL 32547-6707
(850) 863-8150
(850) 863-4152
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME155607
FL
207RP1001X
Pulmonary Disease Physician
ME155607
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115255300
—
FL
01
—
POXD6
FL BLUE
FL
Enumeration date
10/07/2005
Last updated
08/26/2025
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