person
Mary Kay Peterson, MD
Diagnostic Radiology Physician in Fort Myers, Florida
NPI 1508805656

Mary Kay Peterson is a Diagnostic Radiology Physician based in Fort Myers, FL and is specialized in Diagnostic Radiology. Mary Kay Peterson practices in Fort Myers, FL and has the professional credentials of MD. The NPI Number for Mary Kay Peterson is 1508805656 and holds a License No. ME77132 (Florida).

The current practice location address for Mary Kay Peterson is 3680 Broadway, Fort Myers, FL and can be reached out via phone at 239-936-2316.

Location: 3680 Broadway, Fort Myers, FL, 33901-8005
person
Provider Profile Details
NPI Number
1508805656
Provider Name
Mary Kay Peterson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3680 Broadway, Fort Myers, FL, 33901-8005
Phone Number
239-936-2316
Fax Number
Provider Enumeration Date
06/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ME77132 01 FL FLORIDA LICENSE
257739900 05 FL
46568 01 BCBS
7405122 01 AETNA PPO
2439859 01 AETNA HMO
institution
Provider Business Practice Location Address Details
Address
3680 Broadway
City
State
Zip
33901-8005
Phone Number
239-936-2316
Fax Number
person
Provider Business Mailing Address Details
Address
3680 Broadway
City
State
Zip
33901-8005
Phone Number
239-936-2316
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
ME77132 (Florida)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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