Peden, John Patrick
Peden, John Patrick is an individual health care provider with primary practice located at 3955 Indian River Blvd Ste 100 , Vero Beach FL 32960-4800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Peden, John Patrick can be contacted via phone (772) 569-2330.Contact Information
Primary practice address
3955 Indian River Blvd Ste 100
Vero Beach FL 32960-4800
Phone: (772) 569-2330
Fax: (772) 569-2630
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | ME96237 | Florida |
Profile Details
NPI number | 1265420350 |
---|---|
LBN Legal business name | Peden, John Patrick |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 12th, 2005 |
Last updated | Aug 11th, 2021 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1265420350 | NPPES |
Florida | Other | 56369 | BC BS PROVIDER NUMBER |
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