Provider Demographics
NPI:1265998611
Name:PEER, ZIYAD (PA-C)
Entity type:Individual
Prefix:
First Name:ZIYAD
Middle Name:
Last Name:PEER
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8150 SW 72ND AVE APT 11026
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-7774
Mailing Address - Country:US
Mailing Address - Phone:703-554-4389
Mailing Address - Fax:
Practice Address - Street 1:8150 SW 72ND AVE APT 11026
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-7774
Practice Address - Country:US
Practice Address - Phone:703-554-4389
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-11
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9111961363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant