Individual
ERIC WAYNE PETTYJOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1141 PATTERSON TER, LAKE MARY, FL 32746-2203
(844) 407-4070
(407) 743-3050
Mailing address
265 E ROLLINS ST, ORLANDO, FL 32804-5502
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
ME156239
FL
Other
Enumeration date
03/23/2018
Last updated
01/12/2026
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