Petersen, Richard Alphonso

Petersen, Richard Alphonso is an sole proprietor health care provider with primary practice located at 6200 Sunset Dr Suite 502, South Miami FL 33143-4828. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Petersen, Richard Alphonso can be contacted via phone (786) 497-4480.

Contact Information

Primary practice address
6200 Sunset Dr Suite 502 South Miami FL 33143-4828
Phone: (786) 497-4480
Fax: (786) 497-4485
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME 62814 Florida

Profile Details

NPI number 1841203197
LBN Legal business name Petersen, Richard Alphonso
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2006
Last updated Apr 14th, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1841203197 NPPES
Florida MEDICAID 374033100

Popular Providers