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

Dr. Kyle Petersen, DO

Individual provider Family Medicine Physician · NPI 1790032530

Dr. Kyle Petersen, DO is a Family Practice in Hollywood, Florida. Qualified in 2011, 15 years ago. Practices with Emergency Medicine Services of Fl LLC, a 665-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
15
Licensed in
FL
In the registry since
2012
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3157 N University Dr Ste 101
Hollywood, FL 33024-2258
Phone: (754) 206-8250
Fax: (754) 206-8260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS11815 (FL)

Record details

NPI number1790032530
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedAugust 10, 2012
Last updated in NPPESJanuary 23, 2020
Certification dateJanuary 23, 2020
Mailing address3157 N University Dr Ste 101, Hollywood, FL 33024-2258

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Emergency Medicine Services Of Fl Llc — 665 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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