Individual
DR. CARL WADE PETERS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2301 N 9TH AVE, SUITE 200, PENSACOLA, FL 32503-3950
(850) 434-1313
(850) 434-8803
Mailing address
2301 N 9TH AVE, SUITE 200, PENSACOLA, FL 32503-3950
(850) 434-1313
(850) 434-8803
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME0050581
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046385000
—
FL
Enumeration date
07/26/2006
Last updated
02/23/2010
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