DR. PETER STEPHENS INC


Address: 375 Sw 32nd St, Okeechobee, FL 34974-5919
Phone: 8637630880

DR. PETER STEPHENS INC (NPI# 1477863074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477863074
Entity Type Organization
Organization Name DR. PETER STEPHENS INC
Practice Address 375 Sw 32nd St
Okeechobee
FL 34974-5919
Practice Telephone 8637630880
Mailing Telephone 8637630880
Enumeration Date 2010-10-15
Last Update Date 2010-11-10
Authorized Official Name DR. PETER STEPHENS (PRESIDENT)
Authorized Official Telephone 8637630880
Authorized Official Credential D.C.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center CH 3189 FL Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL MEDICARE BCBS 88368 01

Office Location

Street Address 375 SW 32ND ST
City OKEECHOBEE
State FL
Zip Code 34974-5919

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790772028 Peter William Stephens Chiropractor 375 Sw 32nd St, Okeechobee, FL 34974-5919 2005-10-03

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1730433665 Lm Counseling Services, LLC. Social Worker 605 Sw Park Street, Suite 203, Okeechobee, FL 34974 2012-10-30
1891947461 Big Lake Home Health Services of Glade County, Inc Home Health #7 Buckhead Ridge Road, Okeechobee, FL 34974 2008-10-15
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1083889455 David J. Underill Od Optometrist 520 South Parrott Ave, Okeechobee, FL 34974 2008-04-28
1679767404 Jean M Drewski Technician/Technologist 520 So Parrott Ave, Optical Gallery, Okeechobee, FL 34974 2007-09-05
1699987776 Hear Factor Dba Beltone Hearing Center Specialist 3268 Us Hwy 441 South, Okeechobee, FL 34974 2007-05-03
1285754119 Melanie Virginie Mello Nurse Practitioner 17201 Civic St., Okeechobee, FL 34974 2007-04-02
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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Competitor

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City OKEECHOBEE
Zip Code 34974

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Dataset Information

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.

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