Individual
DR. PETER DREW WEARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,PHD
Contact information
Practice address
13535 NEMOURS PKWY, NEMOURS CHILDRENS HOSPITAL, ORLANDO, FL 32827-7402
(407) 567-4000
(407) 567-5924
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPARTMENT, ROCKLAND, DE 19732-0191
(302) 651-6212
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD422307
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME118912
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001965321
—
PA
05
—
012929500
—
FL
Enumeration date
02/27/2006
Last updated
03/17/2016
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