George Dwight Peterson in Key West - Specialist
George Dwight Peterson - NPI 1942397799
George Dwight Peterson is a Specialist in Key West, Florida. George Dwight Peterson practices all healthcare services and medical treatments related to Specialist. The NPI Number for George Dwight Peterson is 1942397799. The last update date is 2014-09-08.
George Dwight Peterson's current location address is 5450 Macdonald Avenue, Key West, Florida. You can contact this provider via phone number 3052939555 and fax number 3052939415. The mailing address for George Dwight Peterson is 5450 Macdonald Avenue, Key West, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | George Dwight Peterson |
|---|---|
| Address | 5450 Macdonald Avenue, Key West, Florida |
| Phone Number | 3052939555 |
| Fax Number | 3052939415 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1942397799 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2014-09-08 |
Provider Mailing Address Detail
| Address | 5450 Macdonald Avenue |
|---|---|
| City | Key West |
| State | Florida (FL) |
| Post Code | 33040 |
| Phone Number | 3052939555 |
| Fax Number | 3052939415 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | ME0065007 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 373887600 | FL | -- |
Post Comment/ Review Below
What is the George Dwight Peterson's 1942397799?
The George Dwight Peterson's NPI (National Provider Identifier) Number is 1942397799. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where George Dwight Peterson's facilities are situated?
The facilities of George Dwight Peterson are physically located at the following address: 5450 Macdonald Avenue, Key West, FL, 33040.
What is George Dwight Peterson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for George Dwight Peterson is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the George Dwight Peterson receive the assignment of its 1942397799 from the Centers for Medicare & Medicaid Services?
The George Dwight Peterson was issued its 1942397799 by the Centers for Medicare & Medicaid Services on 2006-10-05.
When was the information related to George Dwight Peterson most recently updated or refreshed?
The details pertaining to the George Dwight Peterson, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-09-08.
NPI Number: 1104823400
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