Basic Information
| Provider Information | |||||||||
| NPI: | 1245436518 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HINDS | ||||||||
| FirstName: | PETER | ||||||||
| MiddleName: | R. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1324 LAKELAND HILLS BLVD. | ||||||||
| Address2: | ATTN: MANAGED CARE DEPT. | ||||||||
| City: | LAKELAND | ||||||||
| State: | FL | ||||||||
| PostalCode: | 33805 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 3525 LAKELAND HILLS BLVD | ||||||||
| Address2: | |||||||||
| City: | LAKELAND | ||||||||
| State: | FL | ||||||||
| PostalCode: | 338051965 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8636036565 | ||||||||
| FaxNumber: | 8636036554 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/25/2007 | ||||||||
| LastUpdateDate: | 07/17/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/17/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2086X0206X | ME131655 | FL | N | Allopathic & Osteopathic Physicians | Surgery | Surgical Oncology | 208800000X | 242246 | NY | N | Allopathic & Osteopathic Physicians | Urology | 208800000X | 25MA08484700 | NJ | N | Allopathic & Osteopathic Physicians | Urology | 208800000X | ME131655 | FL | Y | Allopathic & Osteopathic Physicians | Urology |
No ID Information.