Provider Demographics
NPI:1265515233
Name:WARHEIT, PETER S (MD)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:S
Last Name:WARHEIT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 CLINT MOORE ROAD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-8199
Mailing Address - Country:US
Mailing Address - Phone:561-939-5500
Mailing Address - Fax:561-939-0555
Practice Address - Street 1:1601 CLINT MOORE RD
Practice Address - Street 2:SUITE 160
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-2768
Practice Address - Country:US
Practice Address - Phone:561-939-5500
Practice Address - Fax:561-939-0555
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2012-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME53289207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D72376Medicare UPIN
FL07868Medicare ID - Type Unspecified