Individual
PETER M. MOTOLENICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 667-0444
(407) 667-4338
Mailing address
851 TRAFALGAR CT STE 200E, MAITLAND, FL 32751-7420
(407) 667-0444
(407) 667-4338
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35-081655
OH
207L00000X
Anesthesiology Physician
Primary
ME133581
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100936800
—
FL
05
—
2581166
—
OH
01
—
P00235244
MEDICARE RAILROAD
OH
Enumeration date
06/10/2006
Last updated
03/31/2019
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