Individual
DAVID PETERSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
460 STATE RD #7, STE 300, ROYAL PALM BEACH, FL 33411
(561) 798-6600
(561) 204-2042
Mailing address
10131 W. FOREST HILL BLVD, STE 230, WEST PALM BEACH, FL 33414
(561) 798-6600
(561) 204-2042
Taxonomy
Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
Primary
RN 2555352
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y9142
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
11/19/2005
Last updated
07/08/2007
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