Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184827693 Individual Practitioner Male Practitioner

Dale Edmund Petersen , CP

Prosthetist • Marianna, FL

Professional Overview & Biography Verified Profile Summary

Dale Petersen, CP is a registered healthcare professional specializing in Prosthetist in Marianna, FL. Practice services are available at 4299 3RD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4299 3rd Ave

Marianna, FL 324462136

Telephone 8505260063
Fax 8505261317
Associated Practice Facility / Clinic
🏢 Vital Prosthetics, Inc. Facility NPI 1114189669

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Marianna, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Marianna, FL (115 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

State License FL PRO66

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 28, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location March 28, 2008

Registered at 4299 3RD AVE, MARIANNA, FL 324462136 (Tel: 8505260063)

📍
Updated Business Mailing Address March 28, 2008

Registered at PO BOX 430, MARIANNA, FL 324470430 (Tel: 8505260063)

👤
Provider Name / Credentials Updated March 28, 2008

Recorded as DALE PETERSEN, CP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2008

Prosthetist (License #PRO66 in FL)

🟢
Initial NPI Registration & Enumeration June 11, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184827693
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 11, 2007
Last Update: March 28, 2008
Sole Proprietor: No

Mailing Address

Po Box 430

Marianna, FL 324470430

Phone: 8505260063

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.