Individual
PETER BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1660 SW 72ND AVE, PLANTATION, FL 33317-5035
(305) 826-0660
(305) 825-0245
Mailing address
3233 PALM AVE, HIALEAH, FL 33012-5427
(305) 826-0660
(305) 825-0245
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
ME802582
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
J90338900
—
FL
Enumeration date
07/10/2006
Last updated
12/20/2016
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