Petersen, William A

Petersen, William A is an individual health care provider with primary practice located at 1600 S Andrews Ave Suite 323 West Wing, Ft Lauderdale FL 33316-2510. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Petersen, William A can be contacted via phone (954) 355-5110.

Contact Information

Primary practice address
1600 S Andrews Ave Suite 323 West Wing Ft Lauderdale FL 33316-2510
Phone: (954) 355-5110
Fax: (919) 425-0478
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME92846 Florida

Profile Details

NPI number 1447252952
LBN Legal business name Petersen, William A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Feb 27th, 2014 - about 10 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 1447252952 NPPES
Florida MEDICAID 272273900

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