THE FOLLOWING INFORMATION WAS OBTAINED FROM THE PHYSICIAN REGISTER SECTION OF THE WEBSITE OF THE COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO (WWW.CPSO.ON.CA) AS OF THE DATE AND TIME NOTED BELOW
25/04/25 02:41:30 AM

General Information

Former Name: No Former Name
Medical School: St. George's University School of Medicine, 2017
Gender: Woman
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: 13278 Tecumseh Road East
Tecumseh ON N8N 3T6
Business Email: No Information Available
Phone: (519) 979-5260
Fax: No Information Available
Address: 273 Main St E
Kingsville ON N9Y 1A7
Phone: (226) 526-5559
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 13 Jan 2023
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jan 13 2023
CERTIFYING BODY: College of Family Physicians of Canada

Medical Licences In Other Jurisdictions

Effective September 1, 2015, the College by-laws require the College to indicate on the register if the member has a licence or is registered to practise medicine in a jurisdiction outside Ontario, if this is known to the College.
USA - Michigan

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Peralta Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 01 Dec 2021
Shareholders:
Dr. N. Peralta (CPSO#: 124225 )
Business Address: 205-13278 Tecumseh Rd E
Tecumseh ON N8N 0C2

General Information

Former Name: No Former Name
Gender: Woman
Languages Spoken: ENGLISH
Medical School: St. George's University School of Medicine, 2017

Practice Information

Primary Business Location: 13278 Tecumseh Road East
Tecumseh ON N8N 3T6
Business Email: No Information Available
Phone: (519) 979-5260
Fax: No Information Available
Address: 273 Main St E
Kingsville ON N9Y 1A7
Phone: (226) 526-5559
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 13 Jan 2023
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jan 13 2023
CERTIFYING BODY: College of Family Physicians of Canada

Medical Licences In Other Jurisdictions

Effective September 1, 2015, the College by-laws require the College to indicate on the register if the member has a licence or is registered to practise medicine in a jurisdiction outside Ontario, if this is known to the College.
USA - Michigan

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Peralta Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 01 Dec 2021
Shareholders:
Dr. N. Peralta (CPSO#: 124225 )
Business Address: 205-13278 Tecumseh Rd E
Tecumseh ON N8N 0C2

Practice Conditions

VIEW DETAILS chevron-down icon
(1) Dr. NICOLE ASHLEY PERALTA may practise only in the areas of medicine in which Dr. PERALTA is educated and experienced.
VIEW DETAILS chevron-down icon
(1) Dr. NICOLE ASHLEY PERALTA may practise only in the areas of medicine in which Dr. PERALTA is educated and experienced.

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Training

Medical School: St. George's University School of Medicine, 2017

Registration History

DETAILS DATE
Subsequent certificate of registration issued: Independent Practice Certificate Effective: 17 Jan 2023
Terms and conditions amended by Registration Committee. Effective: 29 Sep 2022
Terms and conditions amended by Registration Committee. Effective: 15 Jul 2022
First certificate of registration issued: Restricted Certificate Effective: 08 Feb 2021
Arrow_iconTerms and conditions imposed on certificate by: Registration Committee Effective: 08 Feb 2021
DETAILS: Subsequent certificate of registration issued: Independent Practice Certificate
Date: Effective: 17 Jan 2023
DETAILS: Terms and conditions amended by Registration Committee.
Date: Effective: 29 Sep 2022
DETAILS: Terms and conditions amended by Registration Committee.
Date: Effective: 15 Jul 2022
DETAILS: First certificate of registration issued: Restricted Certificate
Date: Effective: 08 Feb 2021
DETAILS: Terms and conditions imposed on certificate by: Registration Committee
Date: Effective: 08 Feb 2021