Individual
PETER E LOEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1911 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5321
(850) 878-2549
(850) 431-6341
Mailing address
1911 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5321
(850) 878-2549
(850) 431-6341
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0059656
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0059656
—
FL
Enumeration date
08/10/2005
Last updated
05/07/2009
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