Provider Demographics
NPI:1881774206
Name:MAYER, PETER LEE (MD)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:LEE
Last Name:MAYER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5831 BEE RIDGE ROAD SUITE 100
Mailing Address - Street 2:NEUROSURGERY SPINE SPECIALISTS
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233
Mailing Address - Country:US
Mailing Address - Phone:941-308-5700
Mailing Address - Fax:941-308-5757
Practice Address - Street 1:5831 BEE RIDGE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-5088
Practice Address - Country:US
Practice Address - Phone:941-308-5700
Practice Address - Fax:941-308-5757
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME68105207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
26947OtherBCBS
5642010OtherAETNA
FL377936000Medicaid
FL1426868OtherUNITED HEALTHCARE
F16312Medicare UPIN
26947ZMedicare ID - Type Unspecified