Individual
MATTHEW N PEEBLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10050 SW INNOVATION WAY, PORT ST LUCIE, FL 34987-2117
(772) 344-3811
(772) 344-3890
Mailing address
PO BOX 417, STUART, FL 34995-0417
(772) 223-5665
(772) 223-5646
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0077690
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267042900
—
FL
Enumeration date
07/11/2005
Last updated
10/09/2014
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