Anita L Petteway Md Pa | |
150 Nw 168th St Ste 301 North Miami Beach FL 33169-6051 | |
(305) 944-8887 | |
(877) 488-9590 |
Full Name | Anita L Petteway Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 150 Nw 168th St Ste 301, North Miami Beach, Florida |
Authorized Official Name and Position | Dorenda Washington (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 3059448887 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Anita L Petteway Md Pa 150 Nw 168th St Ste 301 North Miami Beach FL 33169-6051 Ph: (305) 944-8887 | Anita L Petteway Md Pa 150 Nw 168th St Ste 301 North Miami Beach FL 33169-6051 Ph: (305) 944-8887 |
NPI Number | 1558322289 |
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Provider Enumeration Date | 03/31/2006 |
Last Update Date | 08/22/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558322289 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME69729 (Florida) | Primary |
363AM0700X | Physician Assistant - Medical | PA9102803 (Florida) | Secondary |
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