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John P Petersen Md Pa
Specialist in Vero Beach, Florida
NPI 1215151113

John P Petersen Md Pa is a Specialist based in Atlanta, FL. John P Petersen Md Pa practices in Vero Beach, FL. The NPI Number for John P Petersen Md Pa is 1215151113 and holds a License No. (Florida).

The current practice location address for John P Petersen Md Pa is 3555 10Th Ct, Vero Beach, FL and can be reached out via phone at 772-794-3333 and via fax at 772-569-6949.

Location: 3555 10Th Ct, Vero Beach, FL, 30384-0013
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215151113
Provider Name
John P Petersen Md Pa
Credential
Provider Entity Type
Organization
Address
3555 10Th Ct, Vero Beach, FL, 30384-0013
Phone Number
772-794-3333
Fax Number
772-569-6949
Provider Enumeration Date
04/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
920004346 01 FL RAILROAD MEDICARE
374792100 05 FL
institution
Provider Business Practice Location Address Details
Address
3555 10Th Ct
City
Vero Beach
State
Florida
Zip
32960-5013
Phone Number
772-794-3333
Fax Number
772-569-6949
person
Provider Business Mailing Address Details
Address
3555 10Th Ct
City
Vero Beach
State
Florida
Zip
32960-5013
Phone Number
772-794-3333
Fax Number
772-569-6949
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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