Provider Demographics
NPI:1164412177
Name:CHOY, PETER V (PHYSICIAN/MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:V
Last Name:CHOY
Suffix:
Gender:M
Credentials:PHYSICIAN/MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7029 SW 61 AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-3420
Mailing Address - Country:US
Mailing Address - Phone:786-456-8391
Mailing Address - Fax:786-360-0046
Practice Address - Street 1:7029 SW 61 AVE
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-3420
Practice Address - Country:US
Practice Address - Phone:786-456-8391
Practice Address - Fax:786-360-0046
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-21
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 74815207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL254573000Medicaid
FLK5567Medicare PIN
FLG77138Medicare UPIN
FLE0779ZMedicare ID - Type UnspecifiedPHYSICIAN