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Individual

DR. JOHN T. PETERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2401 MANATEE AVE W, BRADENTON, FL 34205-4933
(941) 744-1336
(941) 746-3846
Mailing address
2401 MANATEE AVE W, BRADENTON, FL 34205-4933
(941) 744-1336
(941) 746-3846

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
OS7555
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
256226000
FL
Enumeration date
10/06/2005
Last updated
02/27/2018
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