Individual
PETER K HERVIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
844 N THORNTON AVE, ORLANDO, FL 32803-4003
(407) 894-8768
(407) 894-6872
Mailing address
5924 AUVERS BLVD, UNIT 104, ORLANDO, FL 32807-3764
(201) 696-5881
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
234619
MA
208000000X
Pediatrics Physician
ME110130
FL
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME110130
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000379580
—
FL
05
—
003795800
—
FL
Enumeration date
03/31/2008
Last updated
03/09/2021
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