Peterson, Mary

Peterson, Mary is an sole proprietor health care provider with primary practice located at 1622 Silver St , Jacksonville FL 32206-4446. She recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as her primary health care specialty. Peterson, Mary can be contacted via phone (904) 356-3022.

Contact Information

Primary practice address
1622 Silver St Jacksonville FL 32206-4446
Phone: (904) 356-3022
Fax: (904) 350-9165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 8638 Florida

Profile Details

NPI number 1063221646
LBN Legal business name Peterson, Mary
Credentials ADMINISTRATOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 7th, 2025
Last updated Jan 7th, 2025 - about last year

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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