Individual
DR. PETER B MCKERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, DDS
Contact information
Practice address
EAR NOST & THROAT ASSOCIATES, 6101 WEBB RD. STE 211, TAMPA, FL 33615-2865
(813) 884-4967
(813) 889-0847
Mailing address
SELECT PHYSICIANS ALLIANCE, 10002 PRINCESS PALM AVE. STE 332, TAMPA, FL 33619-8327
(813) 571-7184
(813) 654-4695
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
M.E. 0056480
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0621641
—
FL
Enumeration date
07/14/2005
Last updated
05/03/2019
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