Individual
DR. DAVID A PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4910 DIRECTORS PL STE 350, SAN DIEGO, CA 92121-3834
(844) 484-4267
(949) 381-5687
Mailing address
1433 S FORT HARRISON AVE STE D, CLEARWATER, FL 33756-2072
(727) 724-3985
(727) 726-7553
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G130506
CA
207X00000X
Orthopaedic Surgery Physician
ME54499
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037919100
—
FL
Enumeration date
11/19/2005
Last updated
08/12/2025
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