Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 279967 | NY |
N | 2080P0203X | Pediatric Critical Care Doctor | 279967 | NY |
N | 2086S0102X | Surgical Critical Care | 279967 | NY |
N | 2086S0120X | Pediatric Surgery | MFC1821 | FL |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 279967 | NY |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | MFC1821 | FL |
NPI | 1851770630 |
---|---|
Provider Name | Dr. Giles Peek |
First Address | Gainesville, FL 32610-3003 |
Second Address | Gainesville, FL 32610-3003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2015 |
Last Update Date | 17/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
103284600 | (05) | FL |