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Individual

PETER KROETSCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 E CYPRESS DR, PEMBROKE PINES, FL 33025-4543
(954) 392-3162
(561) 790-0286
Mailing address
800 E CYPRESS DR, PEMBROKE PINES, FL 33025-4543
(954) 392-3162
(561) 790-0286

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME83899
FL
2084P0804X
Child & Adolescent Psychiatry Physician
ME83899
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
274740500
FL
01
ME83899
STATE LICENSE
FL
Enumeration date
11/27/2006
Last updated
01/07/2014
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