Peterson, George Dwight

Peterson, George Dwight is an sole proprietor health care provider with primary practice located at 5450 Macdonald Avenue Suite 12, Key West FL 33040. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Peterson, George Dwight can be contacted via phone (305) 293-9555.

Contact Information

Primary practice address
5450 Macdonald Avenue Suite 12 Key West FL 33040
Phone: (305) 293-9555
Fax: (305) 293-9415
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0065007 Florida

Profile Details

NPI number 1942397799
LBN Legal business name Peterson, George Dwight
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2006
Last updated Sep 8th, 2014 - about 11 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 1942397799 NPPES
Florida MEDICAID 373887600

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