# PETER R. BENDETSON, M.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619477288
- **Authorized official:** PETER ROME BENDESTON MD (SOLE PROPRIETOR)
- **Authorized official phone:** (561) 328-9434

## Contact information

- **Practice address:** 13005 SOUTHERN BLVD STE 231, LOXAHATCHEE, FL 33470-9272
- **Practice address phone:** (561) 328-9434
- **Practice address fax:** (561) 469-2496
- **Mailing address:** 13005 SOUTHERN BLVD STE 231, LOXAHATCHEE, FL 33470-9272
- **Mailing address phone:** (561) 328-9434
- **Mailing address fax:** (561) 469-2496

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | ME38840 | FL | Yes |

## Other

- **Enumeration date:** 02/20/2018
- **Last updated:** 02/20/2018