Provider Demographics
NPI:1841232519
Name:DR HARRY PEPE AND ASSOCIATES INC
Entity Type:Organization
Organization Name:DR HARRY PEPE AND ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:F
Authorized Official - Last Name:PEPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-893-8900
Mailing Address - Street 1:4510 SHERIDAN ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-3516
Mailing Address - Country:US
Mailing Address - Phone:954-893-8900
Mailing Address - Fax:954-416-6633
Practice Address - Street 1:4510 SHERIDAN ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-3516
Practice Address - Country:US
Practice Address - Phone:954-893-8900
Practice Address - Fax:954-416-6633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL99060OtherBCBS
014739585OtherMEDICARE RR PALMETTO GBA
FL253644700Medicaid
014739585OtherMEDICARE RAILROAD
FLPAYEE # GE656OtherAVMED
FL=========OtherSUMMIT HEALTHPLAN
FL=========OtherNEIGHBORHOOD HEALTH
FL=========OtherVISTA HEALTHCARE
FL99060OtherBCBS
TN=========OtherCIGNA
=========OtherUNITED HEALTHCARE
FLPAYEE # GE656OtherAVMED
FL=========OtherTAX ID
KY=========OtherTRICARE
FL=========OtherJMH
FL=========OtherMEMORIAL MANAGED CARE
FL=========OtherNEIGHBORHOOD HEALTH
FL99060Medicare PIN