Individual
PETER OPPENHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
379 N CONGRESS AVE, BOYNTON BEACH, FL 33426-3415
(561) 336-0191
(561) 364-7785
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(561) 336-0191
(561) 364-7785
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME142493
FL
2080A0000X
Pediatric Adolescent Medicine Physician
147727
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104820300
—
FL
Enumeration date
05/17/2006
Last updated
12/26/2019
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