Individual
MR. CHARLES EMERSON PETERMAN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4600 4TH ST N, ST PETERSBURG, FL 33703-3802
(727) 369-5039
Mailing address
1661 21ST AVE N, ST PETERSBURG, FL 33713-5035
(727) 452-4283
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL849
FL
Other
Enumeration date
05/11/2007
Last updated
02/17/2009
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