Search › Florida › 207Q00000X
Frederick Peterson, MD
NPI 1215913165 · on the registry since 2005
Practice
- Address
- 6100 Minton Rd Nw
Ste104
Palm Bay, FL 32907 - Phone
- (321) 724-1172
- Fax
- (321) 724-9024
- Organisation at this address
- Space Coast Podiatry Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Additional practice sites
- 4450 W Eau Gallie Blvd Ste 250, Melbourne, FL
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-03-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida