Organization
CORAL REEF ORTHOPEDIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER MILLHEISER (PHYSICIAN)
(305) 251-2241
Entity
Organization
Contact information
Practice address
9299 CORAL REEF DR, MIAMI, CA 33157
(305) 251-2241
Mailing address
3607 OLD CONEJO RD, THOUSAND OAKS, CA 91320-2123
(805) 375-0800
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
AM2718825
FL
Other
Enumeration date
02/02/2007
Last updated
08/22/2020
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