Individual
OWEN G PELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 NW 84TH AVE STE 200, PLANTATION, FL 33324-1847
(954) 424-4321
Mailing address
4801 S UNIVERSITY DR, STE 104, DAVIE, FL 33328-3835
(954) 746-2012
(954) 746-2013
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME53245
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371831000
—
FL
Enumeration date
01/31/2006
Last updated
07/19/2021
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