Peterkin, Pauline

Peterkin, Pauline is an individual health care provider with primary practice located at 330 Sw 27Th Ave , Fort Lauderdale FL 33312-2051. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Peterkin, Pauline can be contacted via phone (954) 791-4300.

Contact Information

Primary practice address
330 Sw 27Th Ave Fort Lauderdale FL 33312-2051
Phone: (954) 791-4300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X APRN1473942 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1473942 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN1473942 Florida

Profile Details

NPI number 1174743728
LBN Legal business name Peterkin, Pauline
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Oct 25th, 2021 - about 3 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 1174743728 NPPES
Florida MEDICAID 766721300
Florida Other 1473942

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