Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dale Edmund Petersen Jr., CP

Prosthetist in Marianna, FL · enumerated 2007 · practices at Vital Prosthetics, Inc..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184827693

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Registry record

Entity type Individual (Type 1)

Name Dale Edmund Petersen Jr.

Credential CP

Sex Male

Practice address 4299 3rd Ave, Marianna, FL, 32446

Phone (850) 526-0063

Fax (850) 526-1317

Enumeration date Jun 11, 2007

Last updated in NPPES Mar 28, 2008

Taxonomy & licenses

224P00000X Prosthetist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PRO66 (FL) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Dale Petersen practice?

The practice location on file with NPPES is in Marianna, FL. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Dale Petersen?

The National Provider Identifier (NPI) for Dale Petersen is 1184827693, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Vital Prosthetics, Inc. Prosthetic/Orthotic Supplier · Marianna, FL NPI 1114189669

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-03-28.