Peden, John Patrick

Peden, John Patrick is an individual health care provider with primary practice located at 3955 Indian River Blvd Ste 100 , Vero Beach FL 32960-4800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Peden, John Patrick can be contacted via phone (772) 569-2330.

Contact Information

Primary practice address
3955 Indian River Blvd Ste 100 Vero Beach FL 32960-4800
Phone: (772) 569-2330
Fax: (772) 569-2630
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X ME96237 Florida

Profile Details

NPI number 1265420350
LBN Legal business name Peden, John Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Aug 11th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265420350 NPPES
Florida Other 56369 BC BS PROVIDER NUMBER

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