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Organization

PETER R ALDANA MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PETER ROQUE ALDANA MD (PRESIDENT)
(772) 465-5600
Entity
Organization

Contact information

Practice address
1801 S 23RD STREET, SUITE 7, FORT PIERCE, FL 34950-4830
(772) 465-5600
(772) 465-5600
Mailing address
1801 S 23RD STREET, SUITE 7, FORT PIERCE, FL 34950-4830
(772) 465-5600
(772) 465-5600

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME69465
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
250207100
FL
Enumeration date
11/08/2006
Last updated
05/21/2008
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