Individual
DR. RICHARD ALPHONSO PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6200 SUNSET DR, SUITE 502, SOUTH MIAMI, FL 33143-4828
(786) 497-4480
(786) 497-4485
Mailing address
6200 SUNSET DR, SUITE 502, SOUTH MIAMI, FL 33143-4828
(786) 497-4480
(786) 497-4485
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME 62814
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374033100
—
FL
Enumeration date
08/15/2006
Last updated
04/14/2011
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