Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John P Petersen MD PA

Organization Specialist · NPI 1215151113

John P Petersen MD PA is a Specialist in Vero Beach, Florida. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3555 10th Ct
Vero Beach, FL 32960-5013
Phone: (772) 794-3333
Fax: (772) 569-6949
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1215151113
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Petersen — Physician · (772) 794-3333
NPI enumeratedApril 12, 2007
Last updated in NPPESMarch 25, 2020
Certification dateMarch 25, 2020
Mailing addressPo Box 100013, Atlanta, GA 30384-0013

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