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Kyle Petersen, MD
Student in an Organized Health Care Education/Training Program in Palm Beach Gardens, Florida
NPI 1104280700

Kyle Petersen is a Student in an Organized Health Care Education/Training Program based in Palm Beach Gardens, FL. Kyle Petersen practices in Palm Beach Gardens, FL and has the professional credentials of MD. The NPI Number for Kyle Petersen is 1104280700 and holds a License No. ME155351 (Florida).

The current practice location address for Kyle Petersen is 4215 Burns Rd Ste 100, Palm Beach Gardens, FL and can be reached out via phone at 561-694-7776 and via fax at 561-694-3099.

Location: 4215 Burns Rd Ste 100, Palm Beach Gardens, FL, 33410-4625
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104280700
Provider Name
Kyle Petersen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4215 Burns Rd Ste 100, Palm Beach Gardens, FL, 33410-4625
Phone Number
561-694-7776
Fax Number
561-694-3099
Provider Enumeration Date
04/09/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4215 Burns Rd Ste 100
City
Palm Beach Gardens
State
Florida
Zip
33410-4627
Phone Number
561-694-7776
Fax Number
561-694-3099
person
Provider Business Mailing Address Details
Address
4215 Burns Rd Ste 100
City
Palm Beach Gardens
State
Florida
Zip
33410-4627
Phone Number
561-694-7776
Fax Number
561-694-3099
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Orthopedic Surgery of the Spine
Taxonomy
207XS0117X
License No.
()
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, orthopedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
ME155351 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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