John P Petersen Md Pa

LBN: John P Petersen Md Pa
John P Petersen Md Pa is an health care organization with primary practice located at 3555 10Th Ct , Vero Beach FL 32960-5013. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. John P Petersen Md Pa can be contacted via phone (772) 794-3333, or through Petersen, John Peter via phone (772) 794-3333.

Contact Information

Primary practice address
3555 10Th Ct Vero Beach FL 32960-5013
Phone: (772) 794-3333
Fax: (772) 569-6949
Website:
Map and Directions
Authorized official contact:
Name: Petersen, John Peter Doctor of Medicine (MD)
Phone: (772) 794-3333

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1215151113
LBN Legal business name John P Petersen Md Pa
DBA Doing business as
Authorized official Petersen, John Peter Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2007
Last updated Mar 25th, 2020 - about 4 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 1215151113 NPPES
Florida Other 920004346 RAILROAD MEDICARE
Florida MEDICAID 374792100 RAILROAD MEDICARE

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