Dr William A Petersen, MD | |
1600 S Andrews Ave, Suite 323 West Wing, Ft Lauderdale, FL 33316-2510 | |
(954) 355-5110 | |
(919) 425-0478 |
Full Name | Dr William A Petersen |
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Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 1600 S Andrews Ave, Ft Lauderdale, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447252952 | NPI | - | NPPES |
272273900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | ME92846 (Florida) | Primary |
Entity Name | Pediatrix Medical Group Of Florida Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083711790 PECOS PAC ID: 4486634417 Enrollment ID: O20040721000998 |
Entity Name | Phoenix Obstetrics And Gynecology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285637066 PECOS PAC ID: 3971553298 Enrollment ID: O20050125000551 |
Mailing Address | Practice Location Address |
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Dr William A Petersen, MD 1501 Nw 49th St, Suite 140, Fort Lauderdale, FL 33309-3723 Ph: (954) 714-6351 | Dr William A Petersen, MD 1600 S Andrews Ave, Suite 323 West Wing, Ft Lauderdale, FL 33316-2510 Ph: (954) 355-5110 |
Ghea Adeboyejo, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4701 N Federal Hwy, Bldg B, Ft Lauderdale, FL 33308 Phone: 954-229-6000 Fax: 954-771-6882 | |
Miguel Angel Gonzalez, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 401 Se 16th St, Ft Lauderdale, FL 33316 Phone: 954-523-8108 Fax: 954-525-9828 | |
Dr. Steven M. Scott, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1600 S Andrews Ave, Phoenix Emergency Medicine Of Broward, Llc, Ft Lauderdale, FL 33316 Phone: 954-355-5110 | |
Dr. Trudi Fahey, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1625 Se 3rd Ave, Suite 701, Ft Lauderdale, FL 33316 Phone: 954-355-4390 | |
Minda Neimark, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 6405 N Federal Hwy, Suite 402, Ft Lauderdale, FL 33308 Phone: 954-771-8888 Fax: 954-491-9485 | |
Dr. Bertram E. Walls, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1600 S Andrews Ave, Phoenix Obstetrics/gynecology, Llc, Ft Lauderdale, FL 33316 Phone: 954-355-5110 Fax: 954-355-4919 |