John P Petersen MD PA
NPI #1215151113 in Vero Beach, Florida
Provider Information
- NPI Number
- 1215151113
- Entity Type
- Organization
- Organization Name
- John P Petersen MD PA
- Primary Specialty
- Specialist
- Enumeration Date
- Apr 12, 2007
- Last Updated
- Mar 25, 2020
Practice Location
- Address
- 3555 10TH CT
- City
- Vero Beach
- State
- Florida
- ZIP Code
- 32960-5013
- Phone
- (772) 794-3333
Authorized Official
- Name
- DR. JOHN PETER PETERSEN, MD
- Title
- PHYSICIAN
- Phone
- (772) 794-3333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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