Petteway, Anita

Petteway, Anita is an sole proprietor health care provider with primary practice located at 909 N Miami Beach Blvd Suite 503, North Miami Beach FL 33162-3712. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Petteway, Anita can be contacted via phone (305) 944-8887.

Contact Information

Primary practice address
909 N Miami Beach Blvd Suite 503 North Miami Beach FL 33162-3712
Phone: (305) 944-8887
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME69729 Florida

Profile Details

NPI number 1407045644
LBN Legal business name Petteway, Anita
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2007
Last updated Dec 11th, 2013 - about 12 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 1407045644 NPPES
Florida Other 3421617 CIGNA
Florida Other 31947 CIGNA
Florida MEDICAID 250632700 CIGNA
Florida Other 259904 CIGNA
Florida Other 2054109 CIGNA
Florida Other 25649 CIGNA

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