Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086X0206X | Surgical Oncologist | ME131655 | FL |
N | 208800000X | Urologist | 242246 | NY |
N | 208800000X | Urologist | 25MA08484700 | NJ |
Y | 208800000X | Urologist | ME131655 | FL |
NPI | 1245436518 |
---|---|
Provider Name | Dr. Peter R. Hinds |
First Address | Lakeland, FL 33805 |
Second Address | Lakeland, FL 33805-1965 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2007 |
Last Update Date | 16/03/2018 |