Peterson, Mary S

Peterson, Mary S is an individual health care provider with primary practice located at 1625 Se 3Rd Ave Suite 525, Ft Lauderdale FL 33316-2521. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Peterson, Mary S can be contacted via phone (954) 355-4975.

Contact Information

Primary practice address
1625 Se 3Rd Ave Suite 525 Ft Lauderdale FL 33316-2521
Phone: (954) 355-4975
Fax: (954) 355-5898
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP 2629942 Florida

Profile Details

NPI number 1235154766
LBN Legal business name Peterson, Mary S
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Apr 20th, 2012 - about 14 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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