Provider Demographics
NPI:1841046992
Name:PEACOCK, TURQUISHA M
Entity type:Individual
Prefix:
First Name:TURQUISHA
Middle Name:M
Last Name:PEACOCK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13729 YARMOUTH DR
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-7733
Mailing Address - Country:US
Mailing Address - Phone:305-450-9309
Mailing Address - Fax:
Practice Address - Street 1:13729 YARMOUTH DR
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-7733
Practice Address - Country:US
Practice Address - Phone:305-450-9309
Practice Address - Fax:561-484-1868
Is Sole Proprietor?:No
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management