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Timothy Peterson
NPI 1861198202 · on the registry since 2023 · sole proprietor
Practice
- Address
- 730 Malabar Rd Ste B
Malabar, FL 32950 - Phone
- (800) 465-3203
- Clinicians at this address
- 27
Additional practice sites
- 3200 S University Dr, Davie, FL
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-13
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