Frederick Peterson in Palm Bay - Family Medicine
Frederick Peterson - NPI 1215913165
Frederick Peterson is a Family Medicine in Palm Bay, Florida. Frederick Peterson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Frederick Peterson is 1215913165. The last update date is 2021-03-30.
Frederick Peterson's current location address is 6100 Minton Rd Nw, Palm Bay, Florida. You can contact this provider via phone number 3217241172 and fax number 3217249024. The mailing address for Frederick Peterson is 6100 Minton Rd Nw, Palm Bay, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Frederick Peterson |
|---|---|
| Address | 6100 Minton Rd Nw, Palm Bay, Florida |
| Phone Number | 3217241172 |
| Fax Number | 3217249024 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1215913165 |
|---|---|
| Provider Enumeration Date | 2005-12-21 |
| Last Updated Date | 2021-03-30 |
Provider Mailing Address Detail
| Address | 6100 Minton Rd Nw |
|---|---|
| City | Palm Bay |
| State | Florida (FL) |
| Post Code | 329071975 |
| Phone Number | 3217241172 |
| Fax Number | 3217249024 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | ME32196 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 80185086 | FL | RAILROAD MEDICARE | |
| 38494100 | FL | -- | |
| 5840654 | FL | AETNA | |
| 2830929 | FL | AETNA | |
| 200859 | FL | WELLCARE | |
| 62193 | FL | BLUE CROSS BLUE SHIELD | |
| 2049145010 | FL | CIGNA |
Post Comment/ Review Below
What is the Frederick Peterson's unique identification number?
The Frederick Peterson has been assigned the NPI (National Provider Identifier) Number 1215913165 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Frederick Peterson is located?
The Frederick Peterson is situated at the following address: 6100 Minton Rd Nw, Palm Bay, FL, 329071975.
What is Frederick Peterson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Frederick Peterson's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Frederick Peterson receive the assignment of its 1215913165 from the Centers for Medicare & Medicaid Services?
The Frederick Peterson was issued its 1215913165 by the Centers for Medicare & Medicaid Services on 2005-12-21.
When was the information pertaining to Frederick Peterson most recently updated or revised?
The details related to Frederick Peterson, including its address, specialty, and other relevant information, were last updated or revised on 2021-03-30.