Individual
DR. GEORGE DWIGHT PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5450 MACDONALD AVENUE, SUITE 12, KEY WEST, FL 33040
(305) 293-9555
(305) 293-9415
Mailing address
5450 MACDONALD AVENUE, SUITE 12, KEY WEST, FL 33040
(305) 293-9555
(305) 293-9415
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0065007
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373887600
—
FL
Enumeration date
10/05/2006
Last updated
09/08/2014
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