Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | ME131013 | FL |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | ME131013 | FL |
NPI | 1104857747 |
---|---|
Provider Name | Peter J Ameglio |
First Address | Fort Myers, FL 33919-8179 |
Second Address | Fort Myers, FL 33919-8179 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 27/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H17391 | (02) |