Petersen, David

Petersen, David is an individual health care provider with primary practice located at 460 State Rd #7 Ste 300, Royal Palm Beach FL 33411. He recently has only one registered license in Nursing Service Providers / Orthopedic, which is considered as his primary health care specialty. Petersen, David can be contacted via phone (561) 798-6600.

Contact Information

Primary practice address
460 State Rd #7 Ste 300 Royal Palm Beach FL 33411
Phone: (561) 798-6600
Fax: (561) 204-2042
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Orthopedic 163WX0800X RN 2555352 Florida

Profile Details

NPI number 1669454062
LBN Legal business name Petersen, David
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2005
Last updated Jul 8th, 2007 - about 17 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 1669454062 NPPES
Florida Other Y9142 BLUE CROSS/BLUE SHIELD

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