Individual
DR. WILLIAM A PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 S ANDREWS AVE, SUITE 323 WEST WING, FT LAUDERDALE, FL 33316-2510
(954) 355-5110
(919) 425-0478
Mailing address
1501 NW 49TH ST, SUITE 140, FORT LAUDERDALE, FL 33309-3723
(954) 714-6351
(919) 425-0478
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME92846
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272273900
—
FL
Enumeration date
08/15/2005
Last updated
02/27/2014
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