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Mr. Richard Kenneth Peterson, MD
Family Medicine Physician in Jacksonville, Florida
NPI 1508858861

Richard Kenneth Peterson is a Family Medicine Physician based in Jacksonville, FL. Richard Kenneth Peterson practices in Jacksonville, FL and has the professional credentials of MD. The NPI Number for Richard Kenneth Peterson is 1508858861 and holds a License No. ME0067446 (Florida).

The current practice location address for Richard Kenneth Peterson is 2627 Riverside Ave, Jacksonville, FL and can be reached out via phone at 904-308-7372 and via fax at 904-308-2998.

Location: 2627 Riverside Ave, Jacksonville, FL, 32204-4712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508858861
Provider Name
Richard Kenneth Peterson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2627 Riverside Ave, Jacksonville, FL, 32204-4712
Phone Number
904-308-7372
Fax Number
904-308-2998
Provider Enumeration Date
08/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5562171-001 01 FL CIGNA
26755 01 FL BCBS
379680900 05 FL
4653879 01 FL AETNA
148899 01 FL HEALTHEASE
080119192 01 FL MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
2627 Riverside Ave
City
Jacksonville
State
Florida
Zip
32204-4712
Phone Number
904-308-7372
Fax Number
904-308-2998
person
Provider Business Mailing Address Details
Address
2627 Riverside Ave
City
Jacksonville
State
Florida
Zip
32204-4712
Phone Number
904-308-7372
Fax Number
904-308-2998
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
ME0067446 (Florida)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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