Juandalyn Rozelda Peters, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME85130 Issued in FL

Practice address

4801 S University Dr
Suite 204
Davie, FL 33328-3839

Phone

(786) 255-0347

Fax

(954) 206-4554

NPI assigned

May 7, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1780897033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 S UNIVERSITY DR",
            "address_2": "SUITE 204",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283839",
            "telephone_number": "786-255-0347",
            "fax_number": "954-206-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 S UNIVERSITY DR",
            "address_2": "SUITE 204",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283839",
            "telephone_number": "786-255-0347",
            "fax_number": "954-206-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "JUANDALYN",
        "middle_name": "ROZELDA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME85130",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME85130",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272029900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Pester
• Peter Reiter DC PA
• Ashley Peter
• Anthony John Peters
• Brianna Leigh Peters, COUNSELOR
• Susan J Peters, APRN, FNP-BC
• Alexa Peterson
• Shianna Peterson
• Lorane Petit-Louis
• Maritha Petit-Raymond

• Psychiatry Physician in Davie, FL
• Providers in Davie, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.