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Individual

DR. PETER MATTHEW SZYMONIAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6007 BERRYHILL RD, MILTON, FL 32570-4008
(850) 626-1461
(850) 626-3161
Mailing address
6007 BERRYHILL RD, MILTON, FL 32570-4008
(850) 626-1461
(850) 626-3161

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
ME0044109
FL
207X00000X
Orthopaedic Surgery Physician
Primary
ME44109
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
009310670
ALACAID
AL
05
009310670
AL
05
068633600
FL
01
57095
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/05/2005
Last updated
09/08/2020
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