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THERON M PETTIT
7416 RED BUG LAKE RD OVIEDO FL 327657154

THERON M PETTIT is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1245214279. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 2365481165. The primary specialty is INTERNAL MEDICINE. The organization is PHYSICIAN ASSOCIATES LLC. The address is 7416 RED BUG LAKE RD, , OVIEDO, FL, 327657154. The zip code is 327657154.


Nation Provider ID1245214279
PAC ID by PECOS2365481165
Professional Enrollment IDI20050502000341
NameTHERON M PETTIT
Medical School NameUNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES
Graduation Year1995
Primary SpecialtyINTERNAL MEDICINE
All secondary specialties
Organization NamePHYSICIAN ASSOCIATES LLC
Group Practice PAC ID244135093
Number of Group Practice members92
Address7416 RED BUG LAKE RD, , OVIEDO, FL, 327657154
Hospital affiliation LBNORLANDO HEALTH, INC.
Graduation Year1995
Contact Number4073817387
Email Address[Show_Email_ID]

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