Provider Demographics
NPI:1588654586
Name:PETER V CHOY MD LLC
Entity Type:Organization
Organization Name:PETER V CHOY MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:V
Authorized Official - Last Name:CHOY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-456-8391
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
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?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL277808400Medicaid
FLG77138Medicare UPIN
FLI14892Medicare UPIN
FLK5567Medicare PIN