Organization Active NPI

Peter F Lofaso D O LLC

  • Internal Medicine Physician
  • Wellington, FL
National Provider Identifier
1518174804
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS8483 Issued in FL
Legal business name
PETER F LOFASO D O LLC
Practice address
3975 Isles View Dr Ste 201
Wellington, FL 33414-8854
Phone
(561) 615-1355
Fax
(561) 615-1356
NPI assigned
May 17, 2007
Last updated
Sep 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Peter F Lofaso, D.O.
Title
Provider
Phone
(727) 848-3761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X OS8483 FL Primary

Addresses

Primary practice location

3975 Isles View Dr Ste 201
Wellington, FL 33414-8854

Mailing address

3975 Isles View Dr Ste 201
Wellington, FL 33414-8854
Phone (561) 615-1355

National Provider Directory

National Provider Directory

Locations

3975 Isles View Dr
Ste 201
Wellington, FL 33414
Phone (561) 615-1355

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1518174804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 ISLES VIEW DR STE 201",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148854",
            "telephone_number": "561-615-1355",
            "fax_number": "561-615-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 ISLES VIEW DR STE 201",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148854",
            "telephone_number": "561-615-1355",
            "fax_number": "561-615-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER F LOFASO D O LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "LOFASO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "727-848-3761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS8483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.