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MR. RICHARD KENNETH PETERSON M.D.
NPI 1508858861
Family Medicine in Jacksonville, FL

Active since August 22, 2005
2627 RIVERSIDE AVE, JACKSONVILLE, FL 32204(904) 308-7372(904) 308-2998 Get Directions Write a Review

NPPES record last updated: November 11, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Richard Kenneth Peterson M.d. NPPES

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

MR. RICHARD KENNETH PETERSON M.D. (NPI 1508858861) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (ME0067446) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1508858861
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. RICHARD KENNETH PETERSONCredential: M.D.
Location Address2627 RIVERSIDE AVEJacksonville, FL 32204-4712
Mailing Address2627 Riverside AveJacksonville, FL 32204-4712 · (904) 308-7372 · Fax (904) 308-2998
Phone(904) 308-7372
Fax(904) 308-2998
Sole ProprietorNo
Enumeration DateAugust 22, 2005
Last NPPES UpdateNovember 11, 2009
✔ NPI 1508858861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME0067446
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2627 RIVERSIDE AVE, Jacksonville, FL 32204
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Other Identifiers 8

Medicare ID-Type Unspecified26755YFL
Other080119192FL · Medicare Railroad
Other5562171-001FL · Cigna
Other4653879FL · Aetna
Medicare UPING03267FL
Other148899FL · Healthease
Other26755FL · Bcbs
Medicaid379680900FL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHEAST ORTHOPEDIC SPECIALISTS, INC
Physical Therapist
2627 RIVERSIDE AVE, 3RD FLOOR
JACKSONVILLE, FL 32204
Duval County (904) 634-0640
DR. HANAIN FAZAL DO
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Duval County (904) 308-7372
YVONNE NYAKIO KAMAU MD
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Duval County (904) 308-7372
DANIEL B TEAHAN PT
Physical Therapist
2627 RIVERSIDE AVE, SUITE 300
JACKSONVILLE, FL 32204
Duval County (904) 634-0640
WYNONA FRANCHESCA DIZON
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Duval County (904) 308-7372
MRS. SONYA JEAN DOMINGUEZ M.D.
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Duval County (904) 308-7372
KRISTEN M. CURTIS PT
Physical Therapist (Orthopedic)
2627 RIVERSIDE AVE, SUITE 300
JACKSONVILLE, FL 32204
Duval County (904) 634-0640
FARADIA PIERRE MD
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Duval County (904) 308-7372

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 Richard Peterson's NPI number?

The NPI number for Richard Peterson is 1508858861. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Where is Richard Peterson located?

Richard Peterson practices at 2627 Riverside Ave, Jacksonville, FL 32204. The listed phone number is (904) 308-7372.

What is Richard Peterson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Richard Peterson was last updated on November 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.