Peterson, John A.

Peterson, John A. is an individual health care provider with primary practice located at 1201 5Th Ave North Suite 505, St Petersburg FL 33705-1455. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Peterson, John A. can be contacted via phone (727) 821-0017.

Contact Information

Primary practice address
1201 5Th Ave North Suite 505 St Petersburg FL 33705-1455
Phone: (727) 821-0017
Fax: (727) 502-8860
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X ME0066038 Florida
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X ME0066038 Florida

Profile Details

NPI number 1245211242
LBN Legal business name Peterson, John A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Aug 15th, 2022 - about 2 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 1245211242 NPPES
Florida Other 110214273 RR MEDICARE
Florida Other 25719 RR MEDICARE
Florida MEDICAID 376003100 RR MEDICARE

Popular Providers