Gloersen, Peter F

Gloersen, Peter F is an sole proprietor health care provider with primary practice located at 807 Childrens Way , Jacksonville FL 32207-8426. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is his primary health care specialty. Gloersen, Peter F can be contacted via phone (904) 697-3694.

Contact Information

Primary practice address
807 Childrens Way Jacksonville FL 32207-8426
Phone: (904) 697-3694
Fax: (904) 697-3927
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME0046722 Florida
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X ME46722 Florida

Profile Details

NPI number 1730163007
LBN Legal business name Gloersen, Peter F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2005
Last updated Jul 26th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730163007 NPPES
Florida MEDICAID 041878100

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