Basic Information
Provider Information
NPI: 1265998611
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PEER
FirstName: ZIYAD
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7400 SW 87TH AVE STE 100
Address2:  
City: MIAMI
State: FL
PostalCode: 331735458
CountryCode: US
TelephoneNumber: 3052758200
FaxNumber:  
Practice Location
Address1: 7400 SW 87TH AVE STE 100
Address2:  
City: MIAMI
State: FL
PostalCode: 33173
CountryCode: US
TelephoneNumber: 7035544389
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/11/2019
LastUpdateDate: 04/16/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000XPA9111961FLY Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 

No ID Information.


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