Individual
DR. JOHN PATRICK PEDEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3955 INDIAN RIVER BLVD STE 100, VERO BEACH, FL 32960-4800
(772) 569-2330
(772) 569-2630
Mailing address
3955 INDIAN RIVER BLVD STE 100, VERO BEACH, FL 32960-4800
(772) 569-2330
(772) 569-2630
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
ME96237
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56369
BC BS PROVIDER NUMBER
FL
Enumeration date
10/12/2005
Last updated
08/11/2021
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