Organization
GEORGE D PETERSON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE D PETERSON MD (PHYSICIAN)
(305) 293-9555
Entity
Organization
Contact information
Practice address
5450 MACDONALD AVENUE, SUITE 12, KEY WEST, FL 33045-5870
(305) 293-9555
(305) 293-9551
Mailing address
5450 MACDONALD AVENUE, SUITE 12, KEY WEST, FL 33045-5870
(305) 293-9555
(305) 293-9551
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0065007
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373887600
—
FL
Enumeration date
01/19/2009
Last updated
02/07/2017
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