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

Dr. Vincent Glenn Peterson, DO

Individual provider Nuclear Cardiology Physician · NPI 1487887295

Dr. Vincent Glenn Peterson, DO is an Interventional Cardiology in Daytona Beach, Florida. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2009, 17 years ago. Practices with Halifax Healthcare Systems Inc, a 339-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
17
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
FL
In the registry since
2009
Specialties on file
3
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

695 N Clyde Morris Blvd
Daytona Beach, FL 32114-2321
Phone: (386) 258-8722
Fax: (386) 258-9443
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 655 N Clyde Morris Blvd, Daytona Beach, FL 32114-2324 — (386) 258-8722

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence OS14032 (FL)
Nuclear Cardiology Physician Taxonomy 207UN0901X · Licence OS14032 (FL)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence OS14032 (FL)

Record details

NPI number1487887295
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 26, 2009
Last updated in NPPESSeptember 19, 2022
Certification dateSeptember 19, 2022
Mailing address695 N Clyde Morris Blvd, Daytona Beach, FL 32114-2321

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2009 (17 years in practice)
Group practice Halifax Healthcare Systems Inc — 339 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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