Individual
MICHAEL J PETR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
7807 BAYMEADOWS RD E STE 208, JACKSONVILLE, FL 32256-9666
(904) 446-9991
Mailing address
7807 BAYMEADOWS RD E STE 208, JACKSONVILLE, FL 32256-9666
(904) 330-0302
(904) 330-0418
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME98433
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2784815-00
—
FL
05
—
749600040A
—
GA
Enumeration date
05/29/2007
Last updated
05/12/2025
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