Individual
DR. JEFFREY RYAN PETRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 LIONEL WAY, SUITE 201, DAVENPORT, FL 32804
(844) 407-4070
(407) 743-3050
Mailing address
265 E ROLLINS ST STE 11100, ORLANDO, FL 32804-5570
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME127696
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018113200
—
FL
01
—
ME127696
MEDICAL LICENSE
FL
Enumeration date
06/08/2010
Last updated
01/12/2026
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