ALEC PETERSEN (NPI# 1013370568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013370568 |
| Entity Type | Individual |
| Full Name | ALEC PETERSEN |
| Practice Address |
2801 Sw 149th Ave Ste 100 Miramar FL 33027-4166 |
| Practice Telephone | 6152756612 |
| Mailing Telephone | 6177326660 |
| Mailing Fax Number | 6179750985 |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2020-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME145182 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2801 SW 149TH AVE STE 100 |
| City | MIRAMAR |
| State | FL |
| Zip Code | 33027-4166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838168 | Devoted Medical Group, PC | General Practice | 2801 Sw 149th Ave Ste 100, Miramar, FL 33027-4166 | 2020-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474808 | A&d Community Mental Health, LLC | Community/Behavioral Health | 1333 Sw 16th Ave, Pembroke Pines, FL 33027 | 2020-10-12 |
| 1275172256 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 12681 Miramar Parkway, Miramar, FL 33027 | 2019-12-23 |
| 1902449424 | Marine M Brown | Nurse Practitioner | 4343 Sw 128th Avenue, Mirmar, FL 33027 | 2019-10-28 |
| 1427699107 | Suncare Therapy, Inc | Physical Therapist | 111 Grant Palms Dr, Pembroke Pines, FL 33027 | 2019-10-03 |
| 1245888080 | Nicole Angelique Munoz | Nurse Practitioner | 12600 Pembroke Rd Ste 200, Miramar, FL 33027 | 2019-08-26 |
| 1770052334 | Katalyst Health, LLC | Family Medicine | 14704 Sw 11 Street, Pembroke Pines, FL 33027 | 2018-11-13 |
| 1700362076 | Jovani Miguel Gonzalez | Dentist | 3600 Sw 163rd Ave, Miramar, FL 33027 | 2018-07-19 |
| 1336648310 | Janelle Monique Mitchell | Behavior Technician | 3350 Sw 148th Ave Suite 110, Miramar, FL 33027 | 2018-02-06 |
| 1437667557 | Elizabeth Connors | Specialist/Technologist | 17089 Sw 16th St, Pembroke Pines, FL 33027 | 2018-01-11 |
| 1992217806 | Bibi Farida Roberts | Counselor | 3590 Sw 142nd Ave, Miramar, FL 33027 | 2017-11-01 |
| Find all providers in zip 33027 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750860961 | Devoted Medical Group, Pllc | Internal Medicine | 2801 Sw 149th Ave Ste 202, Miramar, FL 33027-4146 | 2018-08-08 |
| 1124489331 | Raul San Juan | Internal Medicine | 8553 Sheraton Dr, Miramar, FL 33025-2826 | 2016-03-15 |
| 1144622754 | Farid Assouad Md, P.a. | Internal Medicine | 18738 Sw 47th St, Miramar, FL 33029-6219 | 2014-09-25 |
| 1821347519 | Healthstone Medical Group, LLC | Internal Medicine | 3241 Executive Way, Miramar, FL 33025-3931 | 2012-09-10 |
| 1790079416 | Calvin C. Higgins M.d. P.a. | Internal Medicine | 17843 Sw 47th St, Miramar, FL 33029-5053 | 2011-05-31 |
| 1124339700 | Cesar A Velilla Md Pa | Internal Medicine | 12709 Miramar Pkwy, Miramar, FL 33027-2902 | 2010-06-29 |
| 1144470733 | Physician Care Network, LLC | Internal Medicine | 3114 Commerce Pkwy, Miramar, FL 33025-3943 | 2008-09-19 |
| 1992978373 | Romel Figueredo Md Pa | Internal Medicine | 12854 Sw 51st St, Miramar, FL 33027-5806 | 2008-04-08 |
| 1679750335 | Ali Marie Garcia | Internal Medicine | 13020 Sw 51st St, Miramar, FL 33027-5534 | 2008-01-24 |
| 1104019686 | Eugenio Cruz Sanchez | Internal Medicine | 18671 Sw 39th Ct, Miramar, FL 33029-2721 | 2007-08-20 |
| Find all providers in MIRAMAR | ||||
Please comment or provide details below to improve the information on ALEC PETERSEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.