Lori Peterson, | |
2424 Oakbend Dr Apt 1117, Palm Harbor, FL 34683-1777 | |
(763) 477-1017 | |
Not Available |
Full Name | Lori Peterson |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2424 Oakbend Dr Apt 1117, Palm Harbor, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1073383147 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 19172 (Florida) | Primary |
Entity Name | Vitae Health Of Florida Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013562024 PECOS PAC ID: 6204166762 Enrollment ID: O20190925003271 |
Mailing Address | Practice Location Address |
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Lori Peterson, 2424 Oakbend Dr Apt 1117, Palm Harbor, FL 34683-1777 Ph: () - | Lori Peterson, 2424 Oakbend Dr Apt 1117, Palm Harbor, FL 34683-1777 Ph: (763) 477-1017 |
Sara Kristie Ngo, DO6486 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35170 Us Highway 19 N, Palm Harbor, FL 34684 Phone: 727-789-5333 | |
Wade Gregory Anderson, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1713 Eagle Trace Blvd, Palm Harbor, FL 34685 Phone: 727-492-5608 Fax: 727-784-2209 | |
Jessica Williamson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3870 Nighthawk Dr, Palm Harbor, FL 34684 Phone: 727-215-5879 | |
John Portolano, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3921 Erne St, Palm Harbor, FL 34683 Phone: 727-744-5549 | |
Joanne Mercier, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2904 Cypress Rdg, Palm Harbor, FL 34684 Phone: 727-277-9946 | |
Andrew Richey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2138 Chianti Pl, Palm Harbor, FL 34683 Phone: 727-674-8033 |