Provider Demographics
NPI:1427879006
Name:KISS, PETER ANTAL (DC)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:ANTAL
Last Name:KISS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13355 TAMIAMI TRL UNIT E
Mailing Address - Street 2:
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34287-2186
Mailing Address - Country:US
Mailing Address - Phone:941-426-1235
Mailing Address - Fax:941-426-4464
Practice Address - Street 1:13355 TAMIAMI TRL UNIT E
Practice Address - Street 2:
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34287-2186
Practice Address - Country:US
Practice Address - Phone:941-426-1235
Practice Address - Fax:941-426-4464
Is Sole Proprietor?:No
Enumeration Date:2024-10-17
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH14849111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor