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

Alec Petersen

Individual provider Internal Medicine Physician · NPI 1013370568

Alec Petersen is an Internal Medicine Physician in Pembroke Pines, Florida. Licensed in Alabama, Florida, Illinois and North Carolina and 3 more. Registered with an NPI since 2016.

Licensed in
AL, FL, IL, NC, OH, TN
In the registry since
2016
Specialties on file
8
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Practice location Address checks out

880 SW 145th Ave Ste 202
Pembroke Pines, FL 33027-6171
Phone: (615) 275-6612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME145182 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 67960 (TN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 35.144623 (OH)
Internal Medicine Physician Taxonomy 207R00000X · Licence 45918 (AL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Internal Medicine Physician Taxonomy 207R00000X · Licence 036167875 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2021-02940 (NC)
Internal Medicine Physician Taxonomy 207R00000X · Licence T5434 (TX)

Record details

NPI number1013370568
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 1, 2016
Last updated in NPPESJanuary 19, 2024
Certification dateDecember 21, 2023
Mailing address2801 Sw 149th Ave Ste 100, Miramar, FL 33027-4166

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