Individual
BRYCE PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
9726 TOUCHTON RD STE 104, JACKSONVILLE, FL 32246-8305
(904) 421-1221
(904) 620-7996
Mailing address
9726 TOUCHTON RD STE 104, JACKSONVILLE, FL 32246-8305
(904) 421-1221
(904) 620-7996
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL5222
FL
Other
Enumeration date
08/18/2018
Last updated
08/18/2018
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