NICHOLAS D A PETERKIN

PONTE VEDRA, FL
NPI1912211905
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  ME114121)
Enumeration Date2010-08-02
Last Update Date2021-01-05
Business Address
NICHOLAS D A PETERKIN M.D.
832 A1A N STE 6
PONTE VEDRA, FL 32082-3216
Phone number: 904-834-3793
Mailing Address
NICHOLAS D A PETERKIN M.D.
PO BOX 45443
SALT LAKE CITY, UT 84145-0443
Phone number: 904-202-1032
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