Individual
DR. CHRISTOPHER SCOTT PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5040 NW 7TH ST STE 635, MIAMI, FL 33126-3422
(305) 644-2212
(786) 475-7787
Mailing address
5040 NW 7TH ST STE 635, MIAMI, FL 33126-3796
(305) 644-2212
(786) 475-7787
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO 3056
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174785679
NPI
FL
01
—
CL147A
PTAN
FL
Enumeration date
07/07/2006
Last updated
04/28/2023
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