Provider Demographics
NPI:1063171528
Name:PEERBRIDGE HEALTH INC.
Entity type:Organization
Organization Name:PEERBRIDGE HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR VP
Authorized Official - Prefix:
Authorized Official - First Name:BRET
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-747-6535
Mailing Address - Street 1:661 BLUEHEARTS TRL
Mailing Address - Street 2:
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32724-9801
Mailing Address - Country:US
Mailing Address - Phone:651-747-6535
Mailing Address - Fax:
Practice Address - Street 1:3 COLUMBUS CIR FL 15
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-8716
Practice Address - Country:US
Practice Address - Phone:877-426-7457
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-13
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory