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

John William Petersen, MD

Individual provider Cardiovascular Disease Physician · NPI 1588868939

John William Petersen, MD is a Cardiovascular Disease (Cardiology) in Gainesville, Florida. Graduated from University of Florida College of Medicine in 2004, 22 years ago. Practices with Florida Clinical Practice Association Inc, a 1,885-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and North Carolina.

Years since qualifying
22
Trained at
University of Florida College of Medicine
Licensed in
FL, NC
In the registry since
2007
Specialties on file
2
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

1601 S.w Archer Rd
Gainesville, FL 32608-1197
Phone: (352) 376-1611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1600 Sw Archer Road, Gainesville, FL 32610 — (352) 273-9065

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence ME105059 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 122247 (NC)

Record details

NPI number1588868939
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 11, 2007
Last updated in NPPESAugust 23, 2023
Certification dateAugust 23, 2023
Mailing addressPo Box 918025, Orlando, FL 32891-8025

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Florida Clinical Practice Association Inc — 1885 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

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