Individual
DR. PETER H HIBBERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
277 ROYAL POINCIANA WAY UNIT 141, PALM BEACH, FL 33480-4007
(561) 655-4477
(561) 655-7245
Mailing address
277 ROYAL POINCIANA WAY UNIT 141, PALM BEACH, FL 33480-4007
(561) 725-2356
(561) 655-7245
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01030482A
IN
207P00000X
Emergency Medicine Physician
036.060990
IL
207P00000X
Emergency Medicine Physician
22597
KY
207P00000X
Emergency Medicine Physician
53441
CT
207P00000X
Emergency Medicine Physician
C167061
CA
207P00000X
Emergency Medicine Physician
Primary
ME88920
FL
207P00000X
Emergency Medicine Physician
Q4426
TX
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
ME88920
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14260985
CAQH
—
05
—
271391800
—
FL
01
—
50399
BCBS OF FLORIDA
FL
01
—
50933E
MEDICARE PTAN PROVIDER NUMBER
FL
01
—
CAMD-0099-0975
MEDICAL IDENTIFICATION NUMBER FOR CANADA MINC
—
Enumeration date
09/30/2006
Last updated
12/31/2022
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