Individual provider · Type 1 NPI

Kyle Petersen, MD

Orthopaedic Surgery of the Spine Physician · Palm Beach Gardens, FL

NPI number 1104280700 Active

Practice location

4215 Burns Rd Ste 100
Palm Beach Gardens, FL 33410-4627

Fax (561) 694-3099

Mailing address

4215 Burns Rd Ste 200
Palm Beach Gardens, FL 33410-4625

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery of the Spine Physician Primary 207XS0117XME155351 (FL)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Orthopaedic Surgery of the Spine Physician: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

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About NPI 1104280700

Kyle Petersen, MD's National Provider Identifier is 1104280700, issued on Apr 9, 2016. The primary taxonomy on file is Orthopaedic Surgery of the Spine Physician (207XS0117X), and the practice location is in Palm Beach Gardens, FL. The record was last updated on May 8, 2023.