Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PETER MICHAEL WALLACH, M.D.
DeactivatedDR. PETER MICHAEL WALLACH, M.D. is a Dermatology healthcare provider located in CORAL SPRINGS, Florida. NPI 1710987391 is deactivated in the NPPES registry. Verify at CMS.
Dermatology · CORAL SPRINGS, FL
This NPI has been deactivated.
The record was deactivated on March 21, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1710987391
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2005 (0.65205479452055 yrs)
- Last Updated
- Jul 15, 2010
- Deactivated
- Mar 21, 2006
- License
-
ME0029164 (FL)
Practice Information
- Address
-
1480 N UNIVERSITY DRCORAL SPRINGS, FL, 330716040Browse FL providers · Browse ZIP 33071
- Phone
- 9547531030
- Fax
- 9547531115
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in CORAL SPRINGS, FL
| Name | Credential | NPI |
|---|---|---|
| DR. NICOLE CONRAD | MD | 1679565881 |
| BROOKE ANN LOWELL | MD | 1538122064 |
| BARBARA ANN GOLDSTEIN | MD | 1245293778 |
| JEFFREY J KROLL | MD | 1669435913 |
| MICHAEL WAYNE ENGELMAN | MD | 1891758165 |
| MARTIN ALAN SCHIFF | MD | 1659336832 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.