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Timothy Peterson — NPI 1861198202, Malabar, FL | NPI Central

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NPI 1861198202

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Timothy Peterson

NPI 1861198202 · Physician Assistant · Malabar, FL

Provider details

NPI number: 1861198202
Entity type: Individual
Primary specialty: Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Physician AssistantPrimary363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Practice location

730 Malabar Rd Ste B

Malabar, FL 32950-3140

Phone: (800) 465-3203

Approximate (ZIP-level) locationGet directions

More FL providers

Mailing address

3200 S University Dr

Davie, FL 33328-2018

Additional practice locations (1)

3200 S University Dr
Davie, FL 33328-2018
Phone: (954) 262-1250

Registry dates

Enumerated: 2023-02-07
Last updated: 2024-09-13
Certified: 2024-09-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.