Individual
DR. JOEL PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3650 NW 82ND AVE STE 103, DORAL, FL 33166-6662
(305) 227-4263
Mailing address
3650 NW 82ND AVE STE 103, DORAL, FL 33166-6662
(703) 314-3238
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
321520
NY
207X00000X
Orthopaedic Surgery Physician
Primary
ME168223
FL
Other
Enumeration date
03/23/2018
Last updated
08/09/2024
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