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Individual
DR. CHRISTOPHER SCOTT PETERSON
Active
Individual
DR. CHRISTOPHER SCOTT PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO 3056
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174785679
NPI
FL
01
—
CL147A
PTAN
FL
Enumeration date
07/07/2006
Last updated
04/28/2023
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