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Peter G Selassie, MD
Specialist in Orange City, Florida
NPI 1346298759

Peter G Selassie is a Specialist based in Orange City, FL. Peter G Selassie practices in Orange City, FL and has the professional credentials of MD. The NPI Number for Peter G Selassie is 1346298759 and holds a License No. ME36870 (Florida).

The current practice location address for Peter G Selassie is 1061 Medical Center Dr, Orange City, FL and can be reached out via phone at 386-774-1223 and via fax at 386-774-4658.

Location: 1061 Medical Center Dr, Orange City, FL, 32763-8200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346298759
Provider Name
Peter G Selassie
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1061 Medical Center Dr, Orange City, FL, 32763-8200
Phone Number
386-774-1223
Fax Number
386-774-4658
Provider Enumeration Date
05/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
069666800 05 FL
institution
Provider Business Practice Location Address Details
Address
1061 Medical Center Dr
City
Orange City
State
Florida
Zip
32763-8200
Phone Number
386-774-1223
Fax Number
386-774-4658
person
Provider Business Mailing Address Details
Address
1061 Medical Center Dr
City
Orange City
State
Florida
Zip
32763-8200
Phone Number
386-774-1223
Fax Number
386-774-4658
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME36870 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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