Provider Demographics
NPI:1609020395
Name:TEMPLE, PETER CHRISTIAN (RRT)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:CHRISTIAN
Last Name:TEMPLE
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 S BURLINGAME AVE
Mailing Address - Street 2:
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33617-6306
Mailing Address - Country:US
Mailing Address - Phone:813-244-4198
Mailing Address - Fax:813-899-1023
Practice Address - Street 1:302 S BURLINGAME AVE
Practice Address - Street 2:
Practice Address - City:TEMPLE TERRACE
Practice Address - State:FL
Practice Address - Zip Code:33617-6306
Practice Address - Country:US
Practice Address - Phone:813-244-4198
Practice Address - Fax:813-899-1023
Is Sole Proprietor?:No
Enumeration Date:2008-11-09
Last Update Date:2008-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT3118227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered