# LUKE H PETERSON DC PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Pro-Active Family Chiropractic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477736171
- **Authorized official:** DR. LUKE H PETERSON D.C. (PRESIDENT)
- **Authorized official phone:** (407) 895-6161

## Contact information

- **Practice address:** 1400 LAKE BALDWIN LN, STE. A, ORLANDO, FL 32814-6669
- **Practice address phone:** (407) 895-6161
- **Practice address fax:** (407) 895-6464
- **Mailing address:** 1400 LAKE BALDWIN LN, STE. A, ORLANDO, FL 32814-6669
- **Mailing address phone:** (407) 895-6161
- **Mailing address fax:** (407) 895-6464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CH8962 | FL | Yes |

## Other

- **Enumeration date:** 12/17/2007
- **Last updated:** 03/17/2008