Individual
DR. PETER ROGER GENOVESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
936 INTRACOASTAL DR, PH 4, FT LAUDERDALE, FL 33304-3640
(954) 565-2070
Mailing address
936 INTRACOASTAL DR, PH 4, FT LAUDERDALE, FL 33304-3640
(954) 565-2070
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
13626
FL
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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