MEDICARE: MISS HAZEL PETERS ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	2939292	FL

General Provider Information

NPI Number	:	1366656332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS HAZEL PETERS ARNP

Provider Business Mailing Address
First Line	:	7815 SW 6TH ST
Second Line	:
City	:	NORTH LAUDERDALE
State	:	FL
Zip	:	33068-2204
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1990 N FEDERAL HWY
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-1032
Country	:	US
Telephone Number	:	954-942-2247
Fax Number	:	954-942-2265

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	04/21/2025

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