Individual
PEYSAF WORTHALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20824 W DIXIE HWY, MIAMI, FL 33180-1147
(305) 654-0907
(305) 999-0011
Mailing address
20824 W DIXIE HWY, MIAMI, FL 33180-1147
(305) 654-0907
(305) 999-0011
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME41125
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039728800
—
FL
01
—
96159
BCBS
FL
Enumeration date
09/10/2007
Last updated
05/17/2011
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