Provider Demographics
NPI:1598707200
Name:COWEN, PETER (MD)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:
Last Name:COWEN
Suffix:
Gender:M
Credentials:MD
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:5700 LAKE WORTH RD
Mailing Address - Street 2:MEDICAL SPECIALISTS OF THE PALM BEACHES #204
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463
Mailing Address - Country:US
Mailing Address - Phone:561-968-7968
Mailing Address - Fax:561-964-4603
Practice Address - Street 1:5401 S CONGRESS AVE
Practice Address - Street 2:212 MEDICAL SPECIALISTS OF THE PALM BEACHES
Practice Address - City:ATLANTIS
Practice Address - State:FL
Practice Address - Zip Code:33462-6635
Practice Address - Country:US
Practice Address - Phone:561-357-2040
Practice Address - Fax:561-357-2045
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2016-04-11
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Provider Licenses
StateLicense IDTaxonomies
FLME40015207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL40544200Medicaid
FL40544200Medicaid
FL61315Medicare PIN