Provider Demographics
NPI:1518977578
Name:AVERKIOU, PETER ARTIE (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:ARTIE
Last Name:AVERKIOU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:951 NW 13TH STREET
Mailing Address - Street 2:SUITE 5D
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486
Mailing Address - Country:US
Mailing Address - Phone:561-392-7266
Mailing Address - Fax:561-392-7155
Practice Address - Street 1:951 NW 13TH STREET
Practice Address - Street 2:SUITE 5D
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486
Practice Address - Country:US
Practice Address - Phone:561-392-7266
Practice Address - Fax:561-392-7155
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME56595208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
12537Medicare ID - Type Unspecified
E92348Medicare UPIN