DR. PETER URBAN (NPI# 1104045103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104045103 |
| Entity Type | Individual |
| Full Name | DR. PETER URBAN |
| Credential | M.D. |
| Practice Address |
555 N Byron Butler Pkwy Perry FL 32347-2315 |
| Practice Telephone | 8505842778 |
| Practice Fax Number | 8505842790 |
| Mailing Telephone | 8505842778 |
| Mailing Fax Number | 8505842790 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2009-10-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1100X |
Technician/Technologist Specialization: Ophthalmic |
ME0042819 | FL | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336512144 | Peter Urban | Case Manager/Care Coordinator | 50 Vantage Point Dr Ste 4, Rochester, NY 14624-1180 | 2015-11-03 |
| Street Address |
555 N BYRON BUTLER PKWY |
| City | PERRY |
| State | FL |
| Zip Code | 32347-2315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699770545 | Big Bend Operations | Technician/Technologist | 555 N Byron Butler Pkwy, Perry, FL 32347-2315 | 2005-06-16 |
| 1245707967 | Courtney Williams | Social Worker | 555 N Byron Butler Pkwy, Perry, FL 32347-2315 | 2018-10-31 |
| 1891223970 | Marsha Kelly Oxamendi | Social Worker | 555 N Byron Butler Pkwy, Perry, FL 32347-2315 | 2017-06-01 |
| 1295263168 | Sara K Shaw | Case Management | 555 N Byron Butler Pkwy, Perry, FL 32347-2315 | 2017-05-23 |
| 1992150916 | A New Dawn, A New Beginning, Inc | Social Worker | 555 N Byron Butler Pkwy, Perry, FL 32347-2315 | 2016-04-27 |
| 1881056711 | Linda Irvin | Nurse Practitioner | 555 N Byron Butler Pkwy, Perry, FL 32347-2315 | 2016-03-21 |
| 1982092110 | Tiffany Dee Kelley | Physical Therapy Assistant | 555 N Byron Butler Pkwy, Perry, FL 32347-2315 | 2014-12-22 |
| 1740611433 | Florida Medical Practice Plan Inc | General Practice | 555 N Byron Butler Pkwy, Perry, FL 32347-2315 | 2013-12-05 |
| 1013346345 | Dawna Marie Haswell | Social Worker | 555 N Byron Butler Pkwy, Perry, FL 32347-2315 | 2013-11-07 |
| 1215364187 | Guillot Enterprises, LLC | Clinic/Center | 555 N Byron Butler Pkwy, Perry, FL 32347-2315 | 2013-10-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225250764 | Advance Speech and Language Center | Speech-Language Pathologist | 214 North Washington Street, Perry, FL 32347 | 2007-05-03 |
| 1043386865 | Doctors Memorial Hospital | Radiology | Doctors Memorial Hospital, 333 N Byron Butler Parkway, Perry, FL 32347 | 2006-11-24 |
| 1467472282 | Firas A Hamdan | Otolaryngology | 1224 N Peacock Ave, Perry, FL 32347 | 2006-07-21 |
| 1841229333 | Miles V Nelson | Surgery | 1218 N Peacock Ave, Perry, FL 32347 | 2006-06-30 |
| 1679518187 | Diane A Schlick | Family Medicine | 616 S Jefferson Street, Perry, FL 32347 | 2006-06-18 |
| 1609233170 | Rachel Gilliam | Occupational Therapy Assistant | 207 Marshall Dr, Perry, FL 32347 | 2016-01-28 |
| 1184041741 | Pamela Sauls | Family Medicine | 315 E Ash St, Perry, FL 32347 | 2014-03-20 |
| 1356664924 | Jacqueline Bailey | Speech-Language Pathologist | 207 Marshall Dr, Perry, FL 32347 | 2010-03-10 |
| 1831511070 | Rebecca Carroll Wambolt | Speech-Language Pathologist | 1835 Oak Ridge Ln, Perry, FL 32347-0610 | 2014-01-07 |
| 1871130856 | Carestandard Corporation | Family Medicine | 688 A B Murphy Rd, Perry, FL 32347-0810 | 2019-12-09 |
| Find all providers in zip 32347 | ||||
| Taxonomy Code | 156FX1100X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Ophthalmic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134767668 | Marlene Reda | Technician/Technologist | 3180 Sw 2nd St, Miami, FL 33135-2755 | 2019-12-16 |
| 1477055564 | Marina Nemiroff | Technician/Technologist | 2 Marguerita Dr, Stuart, FL 34996-6338 | 2018-03-05 |
| 1629440870 | Wayne Goldman | Technician/Technologist | 12960 West State Road 84, Davie, FL 33325 | 2015-10-28 |
| 1174875983 | Ndubuisi Mbano | Technician/Technologist | 3530 1st Ave N Ste 211, St Petersburg, FL 33713-8443 | 2012-10-04 |
| 1871891739 | Clayton M. Berger, M.d., P.a. | Technician/Technologist | 201 Se 14th St, Fort Lauderdale, FL 33316-1827 | 2011-03-02 |
| 1114113685 | Central Florida Eye Clinic P.a. | Technician/Technologist | 814 Griffin Rd, Lakeland, FL 33805-2440 | 2007-09-19 |
| 1386843795 | Sual Optical Corporation | Technician/Technologist | 10720 W Flagler St, Suite 6, Miami, FL 33174-4406 | 2007-07-16 |
| 1295856516 | University Opticians, Inc. | Technician/Technologist | 300 Sw 4th Ave, Gainesville, FL 32601-6550 | 2007-04-03 |
| 1174640957 | Jhf, Inc. | Technician/Technologist | 1850 S Ocean Blvd, Suite 211, Pompano Beach, FL 33062-7921 | 2007-03-25 |
| 1093715302 | Lauren Richard Rosecan | Technician/Technologist | 901 N Flagler Dr # 4, West Palm Beach, FL 33401-3713 | 2005-07-28 |
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| 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.