Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Peter Boham Septembre, PA

Individual provider Physician Assistant · NPI 1740902410

Dr. Peter Boham Septembre, PA is a Physician Assistant in Fort Pierce, Florida. Works from 3 locations. Licensed in Arizona, Florida, Ohio and Puerto Rico.

Licensed in
AZ, FL, OH, PR
In the registry since
2022
Specialties on file
4
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1505 Delaware Ave
Fort Pierce, FL 34950-3975
Phone: (772) 461-1401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2903 Stirling Rd, Fort Lauderdale, FL 33312-6503 — (212) 419-8180
  • 1858 Sw Angelico Ln, Port Saint Lucie, FL 34984-4457 — (772) 722-4907

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 001312-P.A. (PR)
Physician Assistant Taxonomy 363A00000X · Licence 9834 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 50.009517RX (OH)
Medical Physician Assistant Taxonomy 363AM0700X · Licence TPPA389 (FL)

Record details

NPI number1740902410
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 19, 2022
Last updated in NPPESDecember 6, 2025
Certification dateDecember 6, 2025

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