Individual
DR. CARL WILLIAM PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER ROAD, GAINESVILLE, FL 32610-0254
(352) 265-0077
(352) 338-9880
Mailing address
PO BOX 100254, GAINESVILLE, FL 32610-0254
(352) 265-0077
(352) 338-9880
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME47374
FL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
ME47374
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME47374
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005534300
—
FL
Enumeration date
07/21/2006
Last updated
03/28/2018
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