Individual
SCOTT PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
61 MEMORIAL MEDICAL PKWY STE 1-800B, PALM COAST, FL 32164-5983
(386) 586-1970
(386) 586-1971
Mailing address
PO BOX 935921, ATLANTA, GA 31193-5921
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
574711-1
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
11031606
FL
Other
Enumeration date
02/04/2020
Last updated
07/18/2024
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