Provider Demographics
NPI:1871620385
Name:PETER J LOWE, M.D. P.A.
Entity type:Organization
Organization Name:PETER J LOWE, M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:J
Authorized Official - Last Name:LOWE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-967-8000
Mailing Address - Street 1:4175 S CONGRESS AVE STE V
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33461-4725
Mailing Address - Country:US
Mailing Address - Phone:561-967-8000
Mailing Address - Fax:561-433-5954
Practice Address - Street 1:4175 S CONGRESS AVE STE V
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33461-4725
Practice Address - Country:US
Practice Address - Phone:561-967-8000
Practice Address - Fax:561-433-5954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL036145300Medicaid
FLD18154Medicare UPIN