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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 ID||1245214279|
|PAC ID by PECOS||2365481165|
|Professional Enrollment ID||I20050502000341|
|Name||THERON M PETTIT|
|Medical School Name||UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES|
|Primary Specialty||INTERNAL MEDICINE|
|All secondary specialties|
|Organization Name||PHYSICIAN ASSOCIATES LLC|
|Group Practice PAC ID||244135093|
|Number of Group Practice members||92|
|Address||7416 RED BUG LAKE RD, , OVIEDO, FL, 327657154|
|Hospital affiliation LBN||ORLANDO HEALTH, INC.|