Doctor Name: | DR. PETER RUGGIERO |
NPI Number: | 1124022058 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME0073282 |
Business Practice Address: | 1200 W Sr 434 Ste 112 Longwood, FL - 327504957 |
Business Phone Number: | 4076441111 |
Business Fax Number: | 4077408411 |
Mailing Address: | 460 E Altamonte Dr, Suite 2200 ALTAMONTE SPRINGS |
State: | FL |
Postal Code: | 327014612 |
Phone Number: | 4076441111 |
Fax Number: | 4077408411 |
NPI Enumeration Date: | 06/09/2005 |
NPI Last Update Date: | 04/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207KA0200X |
License Number: | ME0073282 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Allergy & Immunology |
Taxonomy Specialization: | Allergy |
Taxonomy Definition: |