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

Frederick Peterson, MD

Individual provider Family Medicine Physician · NPI 1215913165

Frederick Peterson, MD is a Family Medicine Physician in Palm Bay, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6100 Minton Rd NW STE104
Palm Bay, FL 32907-1975
Phone: (321) 724-1172
Fax: (321) 724-9024
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4450 W Eau Gallie Blvd Ste 250, Melbourne, FL 32934-7215 — (877) 868-4827

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME32196 (FL)

Record details

NPI number1215913165
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 21, 2005
Last updated in NPPESMarch 30, 2021
Certification dateMarch 30, 2021
Mailing address6100 Minton Rd Nw, Ste104, Palm Bay, FL 32907-1975

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