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Contact Information

PETER C IGWILO, PHD
3640 NW 8TH ST
FORT LAUDERDALE, FL33311-6418
 Phone: 954-618-7151
 Fax: 954-616-5698
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Religious Nonmedical Practitioner

374K00000X
Indicates primary specialty

NPI Profile & details for PETER C IGWILO · (Male)

NPI Number 1023317658
Status Active
Credentials PHD
Entity Individual
Enumeration date 03/22/2011
Last updated 03/22/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • FL Medicaid 002757900
Hospital affiliation(s) Not Available
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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