Individual
ELIZABETH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3278
(321) 434-7000
Mailing address
1068 SPARKMAN ST, MELBOURNE, FL 32935-2730
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
9605206
FL
Other
Enumeration date
09/08/2025
Last updated
10/24/2025
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