Individual
JUANDALYN ROZELDA PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4801 S UNIVERSITY DR, SUITE 204, DAVIE, FL 33328-3839
(786) 255-0347
(954) 206-4554
Mailing address
4801 S UNIVERSITY DR, SUITE 204, DAVIE, FL 33328-3839
(786) 255-0347
(954) 206-4554
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME85130
FL
2084P0804X
Child & Adolescent Psychiatry Physician
ME85130
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272029900
—
FL
Enumeration date
05/07/2007
Last updated
05/19/2015
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