Organization
DAVID A PETERSEN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A PETERSEN MD (OWNER)
(727) 724-3985
Entity
Organization
Contact information
Practice address
1000 LAKEVIEW RD 2, CLEARWATER, FL 33756-3475
(727) 724-3985
(727) 726-7553
Mailing address
1000 LAKEVIEW RD 2, CLEARWATER, FL 33756-3475
(727) 724-3985
(727) 726-7553
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME54499
FL
Other
Enumeration date
04/11/2007
Last updated
07/08/2013
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