Provider Demographics
NPI:1356627335
Name:STIBBS, PETER JAMES (MD, RPA/RRA)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:JAMES
Last Name:STIBBS
Suffix:
Gender:M
Credentials:MD, RPA/RRA
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Mailing Address - Street 1:621 PAVIA LOOP
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-2658
Mailing Address - Country:US
Mailing Address - Phone:863-226-7417
Mailing Address - Fax:
Practice Address - Street 1:8989 S THOROUGHBRED PT
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34452-9517
Practice Address - Country:US
Practice Address - Phone:352-257-1256
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-23
Last Update Date:2023-11-29
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes243U00000XTechnologists, Technicians & Other Technical Service ProvidersRadiology Practitioner Assistant
No171000000XOther Service ProvidersMilitary Health Care Provider
No173000000XOther Service ProvidersLegal Medicine
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant