Provider Demographics
NPI:1588848949
Name:DR. PETER S. GALATI, DPM, PA
Entity Type:Organization
Organization Name:DR. PETER S. GALATI, DPM, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:S
Authorized Official - Last Name:GALATI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:954-561-5001
Mailing Address - Street 1:4146 N FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-5531
Mailing Address - Country:US
Mailing Address - Phone:954-561-5001
Mailing Address - Fax:
Practice Address - Street 1:4146 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-5531
Practice Address - Country:US
Practice Address - Phone:954-561-5004
Practice Address - Fax:954-561-1533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-20
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO1499213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty