Individual
ERIC CECALA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 355-1101
(305) 355-1102
Mailing address
1095 NW 14TH TER, MIAMI, FL 33136-1060
(305) 243-6946
(305) 243-3337
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME112997
FL
207T00000X
Neurological Surgery Physician
ML20008429
WA
Other
Enumeration date
08/19/2006
Last updated
12/04/2020
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