Individual
ALEC PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
880 SW 145TH AVE STE 202, PEMBROKE PINES, FL 33027-6171
(615) 275-6612
Mailing address
2801 SW 149TH AVE STE 100, MIRAMAR, FL 33027-4166
(617) 732-6660
(617) 975-0985
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036167875
IL
207R00000X
Internal Medicine Physician
2021-02940
NC
207R00000X
Internal Medicine Physician
35.144623
OH
207R00000X
Internal Medicine Physician
45918
AL
207R00000X
Internal Medicine Physician
67960
TN
207R00000X
Internal Medicine Physician
Primary
ME145182
FL
207R00000X
Internal Medicine Physician
T5434
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2016
Last updated
01/19/2024
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