Individual
JULIE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1404 EPIPHANY WAY, TRINITY, FL 34655-9409
(727) 389-4442
Mailing address
13027 BATTEN LN, ODESSA, FL 33556-4053
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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