Individual
GREGORIE CONSTANT-PETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3855 S JOHN YOUNG PKWY, ORLANDO, FL 32839-8652
(407) 353-3695
Mailing address
11136 BUGENHAGEN DR, ORLANDO, FL 32832-7032
(917) 670-5908
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
236646
NY
207Q00000X
Family Medicine Physician
ME110998
FL
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
ME110998
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004055900
—
FL
05
—
02711333
—
NY
01
—
14HP9
BCBS
FL
Enumeration date
05/18/2006
Last updated
02/16/2026
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