Mr. Ethan James Dean Peterson, MD
Mr. Ethan James Dean Peterson, MD is an Internal Medicine Physician in Tampa, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2021
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
13000 Bruce B Down's BlvdTampa, FL 33612
Phone: (813) 972-2000
Fax: (813) 916-2944
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence ME165685 (FL) |
|---|
Record details
| NPI number | 1891371480 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | March 23, 2021 |
| Last updated in NPPES | September 10, 2024 |
| Certification date | March 23, 2021 |
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