Individual
PETER S. JIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-7406
(352) 559-5051
Mailing address
PO BOX 100254, GAINESVILLE, FL 32610-0254
(352) 273-8610
(352) 273-8612
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME80455
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050076301
RAILROAD MEDICARE
—
05
—
2591901 00
—
FL
01
—
35943
BCBS
FL
01
—
XXX-XX-1251
CHAMPUS / TRICRE SOUTH REGION
—
Enumeration date
07/20/2006
Last updated
01/12/2024
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