Individual
PETER SETH EDELSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
305 N MANGOUSTINE AVE STE 100, SANFORD, FL 32771-1004
(321) 283-2100
Mailing address
1347 ELYSIUM BLVD, MOUNT DORA, FL 32757-7027
(352) 459-2552
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G065141
CA
208600000X
Surgery Physician
Primary
ME137854
FL
Other
Enumeration date
09/19/2017
Last updated
07/21/2022
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