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Contact Information

GEORGE D PETERSON, MD
5450 MACDONALD AVENUE
SUITE 12
KEY WEST, FL33040
 Phone: 305-293-9555
 Fax: 305-293-9415
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for GEORGE D PETERSON · (Male)

NPI Number 1942397799
Status Active
Credentials MD
Entity Individual
Enumeration date 10/05/2006
Last updated 09/08/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME0065007
  • FL Medicaid 373887600
Hospital affiliation(s)
  • LOWER KEYS MEDICAL CENTER - (Acute Care)
    5900 COLLEGE ROAD
    KEY WEST, FL 33040
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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