| Organization Name: | ST PETER MEDICAL CLINIC,INC |
| NPI Number: | 1578760781 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MAHER ZAKI HANNA (PRESIDENT) |
| Mailing Address: | 10045 Cortez Blvd Suite # 110 Weeki Wachee |
| State: | FL US |
| Postal Code: | 346136319 |
| Phone Number: | 3525922929 |
| Fax Number: | 3525922931 |
| NPI Enumeration Date: | 06/29/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | ME939346 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |