Individual provider · Type 1 NPI
Brandon Joseph Peterson
Surgical Physician Assistant · Fort Myers, FL
NPI number
1427643592
Active
Practice location
19831 Adams Rd
Fort Myers, FL 33908-4863
Mailing address
3210 Cleveland Ave, Ste 100
Fort Myers, FL 33901-7182
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA9114114 (FL) |
Surgical Physician Assistant: Definition to come...
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About NPI 1427643592
Brandon Joseph Peterson's National Provider Identifier is 1427643592, issued on Mar 1, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fort Myers, FL. The record was last updated on Mar 17, 2021.