Individual
SHERRI BREWER PEETE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(855) 527-7246
Mailing address
100 S H ST, PENSACOLA, FL 32502-4539
(205) 382-6881
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9109281
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0214336600
—
FL
01
—
PA9109281
MEDICAL LICENSE NUMBER
FL
Enumeration date
01/25/2016
Last updated
01/11/2022
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