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1891371480
ETHAN JAMES DEAN PETERSON
TAMPA, FL
NPI
1891371480
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME165685)
Enumeration Date
2021-03-23
Last Update Date
2024-09-10
Business Address
Mr. ETHAN JAMES DEAN PETERSON M.D.
13000 BRUCE B DOWN'S BLVD
TAMPA, FL 33612
Phone number: 813-972-2000
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Mailing Address
Mr. ETHAN JAMES DEAN PETERSON M.D.
13000 BRUCE B DOWN'S BLVD
TAMPA, FL 33612
Phone number: 813-681-5551
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