Individual
DR. FITSUM YOHANNES-PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2600 BRUCE B DOWNS BLVD STE 102, WESLEY CHAPEL, FL 33544-9207
(813) 929-5590
(813) 929-5596
Mailing address
2600 BRUCE B DOWNS BLVD STE 102, WESLEY CHAPEL, FL 33544-9207
(813) 929-5590
(813) 929-5596
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME92187
FL
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
ME92187
FL
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
ME92187
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272686600
—
FL
01
—
P00280671
RAILROAD MEDICARE PIN
FL
01
—
P00675105
RAILROAD MEDICARE PIN
FL
Enumeration date
04/25/2006
Last updated
03/30/2022
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