Doctor profile · Federal record
Dr. Kevin Peterson, M.D.
Family Medicine Physician · Jacksonville, FL
- NPI 1790754877
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2377 Dunn Ave, Ufjp Dunn Avenue Family Practice Center
Jacksonville, FL 322186983
(904) 633-0700
fax (904) 633-0701 - Mailing address
-
Po Box 44008, Ufjp Provider Enrollment
Jacksonville, FL 322314008
Credentials & registration
- NPI registered
- March 2006 — 20 yrs on file
- Profile last updated
- April 22, 2009
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Florida #ME81505
- Medicaid (2)
- GA #000912007A · FL #2618401-00
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1790754877. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$314
Transactions
8
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbott Laboratories | 8 | $313.93 |
By nature of payment
Frequently asked questions
What is Dr. Kevin Peterson's medical specialty?
Dr. Kevin Peterson practices Family Medicine Physician in Jacksonville, FL.
Where does Dr. Kevin Peterson practice?
Dr. Kevin Peterson practices at 2377 Dunn Ave, Jacksonville, FL 322186983. Office phone: 9046330700.
What is Dr. Kevin Peterson's NPI?
Dr. Kevin Peterson's National Provider Identifier (NPI) is 1790754877, issued by NPPES.