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DR. CALVIN RONALD PETERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2501 N ORANGE AVE, SUITE 442, ORLANDO, FL 32804-4603
(407) 898-1436
(407) 898-6330
Mailing address
2501 N ORANGE AVE, SUITE 442, ORLANDO, FL 32804-4603
(407) 898-1436
(407) 898-6330

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME0023807
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11596
FL HOSP HEALTHCARE SYSTEM
FL
01
182080453061
HUMANA
01
2001245
AETNA HMO QPDS
01
2701930
CIGNA
01
4008522
AETNA PPO PDS
01
47322
BCBS OF FL
FL
Enumeration date
06/09/2006
Last updated
04/30/2008
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