| Doctor Name: | PETER C IGWILO |
| NPI Number: | 1023317658 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | |
| Business Practice Address: | 3640 Nw 8th St Ft Lauderdale, FL - 333116418 |
| Business Phone Number: | 9546187151 |
| Business Fax Number: | 9546165698 |
| Mailing Address: | 3640 Nw 8th St, FT LAUDERDALE |
| State: | FL |
| Postal Code: | 333116418 |
| Phone Number: | 9546187151 |
| Fax Number: | 9546165698 |
| NPI Enumeration Date: | 03/22/2011 |
| NPI Last Update Date: | 03/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 374K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Nursing Service Related Providers |
| Taxonomy Classification: | Religious Nonmedical Practitioner |
| Taxonomy Specialization: | |
| Taxonomy Definition: | 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. |