Individual
DANIEL CARL PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2500 HARBOR BLVD, PORT CHARLOTTE, FL 33952-5000
(941) 766-4125
(941) 766-4101
Mailing address
2500 HARBOR BLVD, PORT CHARLOTTE, FL 33952-5000
(941) 766-4125
(941) 766-4101
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
8725-33
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11032461
FL
Other
Enumeration date
10/01/2018
Last updated
10/31/2025
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