Jayme M Peterson in Melbourne - Physician Assistant
Jayme M Peterson - NPI 1063588135
Jayme M Peterson is a Physician Assistant in Melbourne, Florida. Jayme M Peterson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jayme M Peterson is 1063588135. The last update date is 2012-02-15.
Jayme M Peterson's current location address is Po Box 361907, Melbourne, Florida. You can contact this provider via phone number 3212546218 and fax number 3212546230. The mailing address for Jayme M Peterson is Po Box 361907, Melbourne, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jayme M Peterson |
|---|---|
| Address | Po Box 361907, Melbourne, Florida |
| Phone Number | 3212546218 |
| Fax Number | 3212546230 |
| Sole Proprietor | Y |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1063588135 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2012-02-15 |
Provider Mailing Address Detail
| Address | Po Box 361907 |
|---|---|
| City | Melbourne |
| State | Florida (FL) |
| Post Code | 329361907 |
| Phone Number | 3212546218 |
| Fax Number | 3212546230 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA 9103306 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Where is the Jayme M Peterson located?
The Jayme M Peterson is located at Po Box 361907, Melbourne, FL 329361907.
Could you please provide the complete physical location address of Jayme M Peterson?
The Jayme M Peterson is physically situated at Po Box 361907, in the city of Melbourne, state of FL, with the postal code 329361907.
What is the area of specialization for Jayme M Peterson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jayme M Peterson is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When was the Jayme M Peterson's 1063588135 issued?
The Jayme M Peterson's 1063588135 was issued on 2006-11-28.
On what date did the Centers for Medicare & Medicaid Services issue the 1063588135 to Jayme M Peterson?
The Jayme M Peterson received its 1063588135 assignment from the Centers for Medicare & Medicaid Services on 2006-11-28.
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