Michael Peterson
Family Medicine Physician in Jacksonville, FL(View on Map)
Full Name
Michael Peterson
NPI Number
1184037020
NPI Type
Individual Provider
Gender
Male
Enumeration Date
06/09/2014
Specialties
(Taxonomies)Licenses
State
Florida
Florida
License Number
OS13490
UO 3884
Contact
Information
Purpose
Mailing
Location
Address
2627 RIVERSIDE AVE
2627 RIVERSIDE AVE
City
Jacksonville
Jacksonville
State
FL
FL
Postal Code
32204-4712
32204-4712
Country
US
US
Telephone Number
(904) 308-7372
(904) 308-7372
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/04/2016