Petrie, Jeffrey Ryan

Petrie, Jeffrey Ryan is an individual health care provider with primary practice located at 401 Lionel Way Suite 201, Davenport FL 32804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Petrie, Jeffrey Ryan can be contacted via phone (844) 407-4070.

Contact Information

Primary practice address
401 Lionel Way Suite 201 Davenport FL 32804
Phone: (844) 407-4070
Fax: (407) 743-3050
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME127696 Florida

Profile Details

NPI number 1841510252
LBN Legal business name Petrie, Jeffrey Ryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2010
Last updated Apr 14th, 2022 - about 3 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 1841510252 NPPES
Florida MEDICAID 018113200
Florida Other ME127696

Popular Providers