Organization
PETER A KORETSKY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER A KORETSKY MD (PRESIDENT)
(321) 254-7375
Entity
Organization
Contact information
Practice address
2955 PINEDA PLAZA WAY STE 115, MELBOURNE, FL 32940-7306
(321) 254-7375
(321) 254-7145
Mailing address
2955 PINEDA PLAZA WAY STE 115, MELBOURNE, FL 32940-7306
(321) 254-7375
(321) 254-7145
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2734737
—
FL
Enumeration date
10/12/2006
Last updated
03/28/2014
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