Organization
DR. PETER STEPHENS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER STEPHENS D.C. (PRESIDENT)
(863) 763-0880
Entity
Organization
Contact information
Practice address
375 SW 32ND ST, OKEECHOBEE, FL 34974-5919
(863) 763-0880
Mailing address
375 SW 32ND ST, OKEECHOBEE, FL 34974-5919
(863) 763-0880
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CH 3189
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88368
MEDICARE BCBS
FL
Enumeration date
10/15/2010
Last updated
11/10/2010
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