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

Dr. Felipe Peterson, DPM

Individual provider Podiatrist · NPI 1033572656

Dr. Felipe Peterson, DPM is a Podiatry in St Petersburg, Florida. Qualified in 2016, 10 years ago. Practices with Ebenezer Wellness Center Inc, a 5-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2016
Specialties on file
5
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1401 16th St N
St Petersburg, FL 33704-4123
Phone: (727) 291-7343
Fax: (727) 895-1215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence PO4014 (FL)
Podiatrist Taxonomy 213E00000X · Licence PO4014 (FL)
Foot Surgery Podiatrist Taxonomy 213ES0131X · Licence PO4014 (FL)
Primary Podiatric Medicine Podiatrist Taxonomy 213EP1101X · Licence PO4014 (FL)
Sports Medicine Podiatrist Taxonomy 213ES0000X · Licence PO4014 (FL)

Record details

NPI number1033572656
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMarch 31, 2016
Last updated in NPPESJune 13, 2023
Certification dateJune 13, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Ebenezer Wellness Center Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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