Individual
PETER BAKHIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1857 RIDGEWAY DR, CLEARWATER, FL 33755-2238
(727) 686-3567
Mailing address
1857 RIDGEWAY DR, CLEARWATER, FL 33755-2238
(727) 686-3567
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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