Individual
TREVOR PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
4211 VAN DYKE RD, LUTZ, FL 33558-8005
(813) 443-7000
Mailing address
16804 TOBACCO RD, LUTZ, FL 33558-4814
(407) 466-3015
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
791
FL
Other
Enumeration date
09/05/2022
Last updated
01/27/2025
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