Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FREDERICK PETERSON, MD
ActiveFREDERICK PETERSON, MD is a Family Medicine healthcare provider located in PALM BAY, Florida. NPI 1215913165 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PALM BAY, FL
Registration Details
- NPI Number
- 1215913165
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 21, 2005 (20.463033398191 yrs)
- Last Updated
- Mar 30, 2021
- License
-
ME32196 (FL)
Practice Information
- Address
-
6100 MINTON RD NWSTE104PALM BAY, FL, 329071975Browse FL providers · Browse ZIP 32907
- Phone
- 3217241172
- Fax
- 3217249024
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in PALM BAY, FL
| Name | Credential | NPI |
|---|---|---|
| DR. MING TAO LAI | MD | 1124023890 |
| DR. RICHARD HERNANDEZ | MD | 1194701540 |
| DR. PETER WILLIAM TARASCHI | DO | 1780660852 |
| DR. SHIRLEY A MARSHALL | MD | 1831176460 |
| MR. HARRY DIAZ MENDEZ | MD | 1396725727 |
| DR. RAJIVE K DAS | M.D. | 1659348548 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.