PETER C IGWILO (NPI# 1023317658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023317658 |
| Entity Type | Individual |
| Full Name | PETER C IGWILO |
| Credential | PHD |
| Practice Address |
3640 Nw 8th St Ft Lauderdale FL 33311-6418 |
| Practice Telephone | 9546187151 |
| Practice Fax Number | 9546165698 |
| Mailing Telephone | 9546187151 |
| Mailing Fax Number | 9546165698 |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2011-03-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374K00000X | Religious Nonmedical Practitioner | FL | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 002757900 | 05 |
| Street Address |
3640 NW 8TH ST |
| City | FT LAUDERDALE |
| State | FL |
| Zip Code | 33311-6418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390336 | Rosenie B Jasmin | Family Medicine | Dove Medical Centers, LLC, 2901 West Oakland Park Blvd Ste A4-5, Oakland Park, FL 33311 | 2020-06-09 |
| 1942769534 | Cbd Skeletal Solutions, LLC | Durable Medical Equipment & Medical Supplies | 630 Tennis Club Drive, Outerbridge - 407, Ft. Lauderdale, FL 33311 | 2019-03-14 |
| 1770049116 | Jordan Matthew Nodelman | Social Worker | 871 W Oakland Park Boulevard, Oakland Park, FL 33311 | 2019-02-11 |
| 1417422304 | Carebridge Home Health of Flrorida | Home Health | 1871 West Oakland Park Blvd, Suite E, Oakland Park, FL 33311 | 2018-10-08 |
| 1992287130 | Michael Ray Johnson | Counselor | 900 Nw 31 Ave, Suite #2000, Ft Laud, FL 33311 | 2018-09-04 |
| 1477047058 | Latino Medical Center IIi | General Practice | 3670 W Oakland Blvd, Lauderdale Lakes, FL 33311 | 2018-06-18 |
| 1316442049 | Anita Fox | Non-emergency Medical Transport (VAN) | 2880 West Oakland Park Blvd, 234, Oakland Park, FL 33311 | 2018-03-26 |
| 1669995957 | Lola J Lewis-walker | Nurse Practitioner | 925 Nw 14th St, Fort Lauderdale, FL 33311 | 2017-07-19 |
| 1598294936 | Abigail D Garcia | Counselor | 713 Nw 1st Ave, Fort Lauderdale, FL 33311 | 2017-06-08 |
| 1548712524 | Hubert Faustin | Counselor | 1409 Nw 1st Avenue, Fort Lauderdale, FL 33311 | 2016-10-26 |
| Find all providers in zip 33311 | ||||
| Taxonomy Code | 374K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Religious Nonmedical Practitioner |
| A religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence. |
| Notes: Source: National Uniform Claim Committee , 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023524915 | Nelson Santana | Religious Nonmedical Practitioner | 16548 Sw 47th Ter, Miami, FL 33185-5129 | 2017-12-14 |
| 1811231095 | Miles Harbur | Religious Nonmedical Practitioner | 128 Ashley Ct, Jupiter, FL 33458-2933 | 2012-11-12 |
| 1083966212 | James E Thurman Jr. | Religious Nonmedical Practitioner | 576 13th Ave Ne, Saint Petersburg, FL 33701-1309 | 2012-10-11 |
| 1275858813 | Linda C Dinardo | Religious Nonmedical Practitioner | 13157 Ipolita St, Venice, FL 34293-4532 | 2010-04-06 |
| City | FT LAUDERDALE |
| Zip Code | 33311 |
Please comment or provide details below to improve the information on PETER C IGWILO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.