Peter J Gannon


Address: 135 Hammocks Dr, Greenacres, FL 33413-2055
Phone: 5613741935

Peter J Gannon (NPI# 1659397479, PAC ID# 7911944558) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1659397479
PAC ID by PECOS 7911944558
Professional Enrollment ID I20050414000581
Full Name Peter J Gannon
Address 135 Hammocks Dr
Greenacres
FL 33413-2055
Phone Number 5613741935
Gender M
Credential NP
Graduation Year 2004
Primary Specialty NURSE PRACTITIONER
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
135 Hammocks Dr, Greenacres, FL 33413-2055 5613741935

Organization Information

Office Location

Street Address 135 HAMMOCKS DR
City GREENACRES
State FL
Zip 33413-2055

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Michael E Corry Chiropractic 6858 Forest Hill Blvd, Greenacres, FL 33413-3352
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Competitor

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City GREENACRES
Zip Code 33413
Specialty NURSE PRACTITIONER
City + Specialty GREENACRES + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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