Individual provider · NPI-1

Dr. Edgar Tugaoen De Peralta, md

Psychiatry & Neurology, Neurology · West Palm Beach, FL

NPI number1679768501

StatusActive

Last updated in NPPESDec 18, 2023

Details

NPI: 1679768501
Entity type: Individual (NPI-1)
Name: Dr. Edgar Tugaoen De Peralta
Credential: md
Sex: Male
Sole proprietor: No
Enumeration date: Sep 13, 2007
Certification date: Dec 18, 2023
Last updated: Dec 18, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2084N0400X	Psychiatry & Neurology, Neurology	ME 107665	FL	Yes
2084N0400X	Psychiatry & Neurology, Neurology	242297	NY

Practice location

529 S Flagler Dr Apt 6e
West Palm Beach, FL 33401-5927

Phone 410-666-2588 · Fax 410-740-1518

Mailing address

255 Evernia St Apt 311
West Palm Beach, FL 33401-5680

Phone 888-464-2466 · Fax 410-740-1518

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