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GEORGE D PETERSON MD PA
NPI 1073750634
Specialist in Key West, FL

Active since January 19, 2009CLIA 10D0980633 · Waiver
5450 MACDONALD AVENUE, SUITE 12, KEY WEST, FL 33045(305) 293-9555(305) 293-9551 Get Directions Write a Review

NPPES record last updated: February 7, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About George D Peterson Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGE D PETERSON MD PA (NPI 1073750634) is a healthcare organization registered as a specialist in Key West, Florida and active in the NPI registry since January 2009. The organization holds a CLIA Waiver certificate valid through May 6, 2028 and lists George D Peterson, Physician, as its authorized official.

NPPES Registry Identity

NPI1073750634
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGEORGE D PETERSON MD PA
Location Address5450 MACDONALD AVENUE, SUITE 12Key West, FL 33045-5870
Mailing Address5450 Macdonald Avenue, Suite 12Key West, FL 33045-5870 · (305) 293-9555 · Fax (305) 293-9551
Phone(305) 293-9555
Fax(305) 293-9551
Organization SubpartNo
Authorized OfficialGeorge D PetersonPhysician · (305) 293-9555
Enumeration DateJanuary 19, 2009
Last NPPES UpdateFebruary 7, 2017
✔ NPI 1073750634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME0065007
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5450 MACDONALD AVENUE, Key West, FL 33045
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Other Identifiers 2

Medicare UPINF70026FL
Medicaid373887600FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0980633

George D Peterson MD PA · Key West, FL
Active · expires May 6, 2028
CLIA Number10D0980633
Laboratory TypePhysician Office
Certificate Effective DateMay 7, 2026
Certificate Expiration DateMay 6, 2028
Laboratory DirectorGeorge D. Peterson
Laboratory Phone(305) 293-9555
Laboratory LocationGeorge D Peterson MD PA5450 Macdonald Avenue Suite 12, Key West, FL 33040
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is George D Peterson MD PA's NPI number?

The NPI number for George D Peterson MD PA is 1073750634. It was assigned to this organization in the NPPES registry on January 19, 2009.

Where is George D Peterson MD PA located?

George D Peterson MD PA is located at 5450 Macdonald Avenue Suite 12, Key West, FL 33045. The listed phone number is (305) 293-9555.

What is George D Peterson MD PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does George D Peterson MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0980633) is associated with this NPI, valid through May 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for George D Peterson MD PA was last updated on February 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.