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DAVID A PETERSEN MD PA
NPI 1336362888
Specialist in Clearwater, FL

Active since April 11, 2007
1000 LAKEVIEW RD 2, CLEARWATER, FL 33756(727) 724-3985(727) 726-7553 Get Directions Write a Review

NPPES record last updated: July 8, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David A Petersen Md Pa NPPES

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

DAVID A PETERSEN MD PA (NPI 1336362888) is a healthcare organization registered as a specialist in Clearwater, Florida and active in the NPI registry since April 2007. The organization lists David A Petersen, Owner, as its authorized official.

NPPES Registry Identity

NPI1336362888
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDAVID A PETERSEN MD PA
Location Address1000 LAKEVIEW RD 2Clearwater, FL 33756-3475
Mailing Address1000 Lakeview Rd 2Clearwater, FL 33756-3475 · (727) 724-3985 · Fax (727) 726-7553
Phone(727) 724-3985
Fax(727) 726-7553
Organization SubpartNo
Authorized OfficialDavid A PetersenOwner · (727) 724-3985
Enumeration DateApril 11, 2007
Last NPPES UpdateJuly 8, 2013
✔ NPI 1336362888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME54499
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.
1000 LAKEVIEW RD 2, Clearwater, FL 33756
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Other Identifiers 2

Medicare NSC1255110001FL
Medicare ID-Type UnspecifiedK1085FL · Group

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

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 David A Petersen MD PA's NPI number?

The NPI number for David A Petersen MD PA is 1336362888. It was assigned to this organization in the NPPES registry on April 11, 2007.

Where is David A Petersen MD PA located?

David A Petersen MD PA is located at 1000 Lakeview Rd 2, Clearwater, FL 33756. The listed phone number is (727) 724-3985.

What is David A Petersen MD PA's specialty?

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

When was this NPI record last updated?

The NPPES record for David A Petersen MD PA was last updated on July 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.