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Dr. Vincent Glenn Peterson, DO
Cardiovascular Disease Physician in Daytona Beach, Florida
NPI 1487887295

Vincent Glenn Peterson is a Cardiovascular Disease Physician based in Daytona Beach, FL and is specialized in Cardiovascular Disease. Vincent Glenn Peterson practices in Daytona Beach, FL and has the professional credentials of DO. The NPI Number for Vincent Glenn Peterson is 1487887295 and holds a License No. OS14032 (Florida).

The current practice location address for Vincent Glenn Peterson is 695 N Clyde Morris Blvd, Daytona Beach, FL and can be reached out via phone at 386-258-8722 and via fax at 386-258-9443.

Location: 695 N Clyde Morris Blvd, Daytona Beach, FL, 32114-2321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487887295
Provider Name
Vincent Glenn Peterson
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
695 N Clyde Morris Blvd, Daytona Beach, FL, 32114-2321
Phone Number
386-258-8722
Fax Number
386-258-9443
Provider Enumeration Date
08/26/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
278018600 05 FL
88976 01 FL BCBS FL
institution
Provider Business Practice Location Address Details
Address
695 N Clyde Morris Blvd
City
Daytona Beach
State
Florida
Zip
32114-2321
Phone Number
386-258-8722
Fax Number
386-258-9443
person
Provider Business Mailing Address Details
Address
695 N Clyde Morris Blvd
City
Daytona Beach
State
Florida
Zip
32114-2321
Phone Number
386-258-8722
Fax Number
386-258-9443
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
OS14032 (Florida)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Interventional Cardiology
Taxonomy
207RI0011X
License No.
OS14032 (Florida)
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Nuclear Medicine
Speciality
Nuclear Cardiology
Taxonomy
207UN0901X
License No.
OS14032 (Florida)
Definition
A nuclear medicine physician who specializes in nuclear cardiology.
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