Individual
JOHN P PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 MAR WALT DRIVE, WWMC HOSPITALIST DEPARTMENT, FORT WALTON BEACH, FL 32547-6708
(850) 863-8100
(850) 863-8548
Mailing address
1005 MAR WALT DR, FORT WALTON BEACH, FL 32547-6707
(508) 863-8100
(850) 863-4152
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME111749
FL
208M00000X
Hospitalist Physician
Primary
ME111749
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006254000
—
FL
Enumeration date
08/14/2009
Last updated
11/23/2021
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