Individual provider · Type 1 NPI

Evelena Cousin-Peterson, MD

Surgery Physician · Tampa, FL

NPI number 1114360849 Active

Practice location

12901 Bruce B Downs Blvd, Mdc 41
Tampa, FL 33612-4742

Fax (813) 974-8359

Mailing address

5520 Vintage View Pass
Lakeland, FL 33812-4061

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XME138727 (FL)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1114360849

Evelena Cousin-Peterson, MD's National Provider Identifier is 1114360849, issued on Apr 11, 2013. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Tampa, FL. The record was last updated on Aug 1, 2025.