Mcewan, Petra Kaye

Mcewan, Petra Kaye is an individual health care provider with primary practice located at 9868 S State Road 7 Ste 305 , Boynton Beach FL 33472-4475. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Lactation Consultant, Non-RN, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Mcewan, Petra Kaye can be contacted via phone (954) 778-3744.

Contact Information

Primary practice address
9868 S State Road 7 Ste 305 Boynton Beach FL 33472-4475
Phone: (954) 778-3744
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lactation Consultant, Non-RN 174N00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME112066 Florida

Profile Details

NPI number 1538302021
LBN Legal business name Mcewan, Petra Kaye
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2009
Last updated Jul 29th, 2020 - about 4 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 1538302021 NPPES
Florida MEDICAID 005456700

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