Individual
SHACHAR PELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4801 S CONGRESS AVE STE 400, PALM SPRINGS, FL 33461-4746
(561) 366-4100
(561) 366-4192
Mailing address
PO BOX 102222, ATTN CREDENTIALING, ATLANTA, GA 30368-2222
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
ME95846
FL
207RX0202X
Medical Oncology Physician
Primary
ME95846
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275336700
—
FL
Enumeration date
05/10/2006
Last updated
08/12/2022
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