Individual ProviderPeter Jonathan AckermanFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1229 E 131st Ave, Tampa, FL 33612-3619(813) 866-0950(813) 866-0930PECOS EnrollmentBased on the most recent information from CMS, provider Peter Jonathan Ackerman does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1578679098Provider TypeIndividualFull NameAckerman, Peter JonathanTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date8/21/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address1229 E 131st Ave, Tampa, FL 33612-3619Phone(813) 866-0950Fax(813) 866-0929Mailing LocationMailing Address2402 E. M.L. King Jr. Blvd, Tampa, FL 33610Phone(813) 866-0930Fax(813) 866-0929Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseME-96422Florida