Provider Demographics
NPI:1831235563
Name:GALATI, PETER S (DPM)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:S
Last Name:GALATI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1930 NE 41ST ST
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-5536
Mailing Address - Country:US
Mailing Address - Phone:954-564-3668
Mailing Address - Fax:
Practice Address - Street 1:4146 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-5531
Practice Address - Country:US
Practice Address - Phone:954-561-5001
Practice Address - Fax:954-561-1533
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO 1499213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLT-55554Medicare UPIN
FL87805Medicare ID - Type UnspecifiedMEDICARE NUMBER