Individual
DR. FERNANDO PETRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5850 SE COMMUNITY DR, STUART, FL 34997-6420
(772) 247-7389
Mailing address
PO BOX 2998, STUART, FL 34995-2998
(772) 247-7389
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS9452
FL
207R00000X
Internal Medicine Physician
Primary
OS9452
FL
208M00000X
Hospitalist Physician
OS9452
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036243000
—
FL
Enumeration date
01/03/2006
Last updated
10/11/2023
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