Organization
PETERSON ACUPUNCTURE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. W JOSEPH PETERSON DOM (OWNER)
(727) 378-7469
Entity
Organization
Contact information
Practice address
12100 COBBLESTONE DR STE 3, BAYONET POINT, FL 34667-2487
(727) 378-7469
Mailing address
12100 COBBLESTONE DR STE 3, BAYONET POINT, FL 34667-2487
(727) 378-7469
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AP1568
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528024072
—
FL
Enumeration date
06/15/2017
Last updated
07/21/2022
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