Provider Demographics
NPI:1831265404
Name:SCHOTTLANDER, PETER E (MD)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:E
Last Name:SCHOTTLANDER
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 1:6101 BLUE LAGOON DR STE 400
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-2051
Mailing Address - Country:US
Mailing Address - Phone:305-500-2000
Mailing Address - Fax:
Practice Address - Street 1:1233 SE INDIAN ST STE 103
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-5689
Practice Address - Country:US
Practice Address - Phone:772-286-0552
Practice Address - Fax:866-361-4852
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME111710207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0326208Medicaid
NJ0326208Medicaid
NJC52766Medicare UPIN