Provider Demographics
NPI:1457792848
Name:FISHER, PETER EDWARD JR (RRT)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:EDWARD
Last Name:FISHER
Suffix:JR
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 1:5361 NW 31ST ST
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-1510
Mailing Address - Country:US
Mailing Address - Phone:813-992-2327
Mailing Address - Fax:
Practice Address - Street 1:5361 NW 31ST ST
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-1510
Practice Address - Country:US
Practice Address - Phone:813-992-2327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-12
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT 127032279H0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome Health