DR. Modesto Peralta JR., M.D.

NPI #1568861995 in Hernando, Florida

Provider Information

NPI Number: 1568861995
Entity Type: Individual
Name: DR. Modesto Peralta JR., M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Thoracic Surgery (Cardiothoracic Vascular Surgery)
Credential: M.D.
Enumeration Date: Aug 21, 2014
Last Updated: Aug 21, 2014

Practice Location

Address: 423 W FENWAY DR
City: Hernando
State: Florida
ZIP Code: 34442-5144
Phone: (440) 567-0113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery)	208G00000X	Primary

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