George D Peterson Md Pa

LBN: George D Peterson Md Pa
George D Peterson Md Pa is an health care organization with primary practice located at 5450 Macdonald Avenue Suite 12, Key West FL 33045-5870. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. George D Peterson Md Pa can be contacted via phone (305) 293-9555, or through Peterson, George D via phone (305) 293-9555.

Contact Information

Primary practice address
5450 Macdonald Avenue Suite 12 Key West FL 33045-5870
Fax: (305) 293-9551
Website:
Authorized official contact:
Name: Peterson, George D Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0065007 Florida

Profile Details

NPI number 1073750634
LBN Legal business name George D Peterson Md Pa
DBA Doing business as
Authorized official Peterson, George D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2009
Last updated Feb 7th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073750634 NPPES
Florida MEDICAID 373887600

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