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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

PETER GODLESKI, MD
550 REDSTONE AVE W
SUITE 370
CRESTVIEW, FL32536-6428
 Phone: 850-682-2209
 Fax: 850-682-2528
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 20 Physician/Orthopedic Surgery
Indicates primary specialty

NPI Profile & details for PETER GODLESKI · (Male)

NPI Number 1194750893
Credentials MD
Entity Individual
Enumeration date 07/11/2006
Last updated 05/18/2012 - About 4 years ago
Sole proprietor 1 No
Identifiers
FL License # ME0053893
TN License # 46334
TN Medicare PIN 103I209951
FL Medicare UPIN E75787
Hospital affiliation(s)
  • BYRD REGIONAL HOSPITAL - (Acute Care)
    1020 FERTITTA BLVD
    LEESVILLE, LA 71446
  • FAITH REGIONAL HEALTH SERVICES - (Acute Care)
    2700 WEST NORFOLK AVE
    NORFOLK, NE 68701
  • NORTH OKALOOSA MEDICAL CENTER - (Acute Care)
    151 REDSTONE AVE SE
    CRESTVIEW, FL 32539
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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