Provider Demographics
NPI:1578937405
Name:STEELE, PETER C (AP, MSOM, DIPLOM)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:C
Last Name:STEELE
Suffix:
Gender:M
Credentials:AP, MSOM, DIPLOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 N COMPASS WAY APT 318
Mailing Address - Street 2:
Mailing Address - City:DANIA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33004-2384
Mailing Address - Country:US
Mailing Address - Phone:754-216-1067
Mailing Address - Fax:754-333-4769
Practice Address - Street 1:121 N COMPASS WAY APT 318
Practice Address - Street 2:
Practice Address - City:DANIA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33004-2384
Practice Address - Country:US
Practice Address - Phone:754-216-1067
Practice Address - Fax:754-333-4769
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-16
Last Update Date:2022-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3669171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAP3669OtherDEPT. OF HEALTH
156553OtherNCCAOM