Individual
DR. BRUCE B PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
707 DRUID RD E, CLEARWATER, FL 33756-3913
(727) 824-8181
(727) 443-7230
Mailing address
14100 58TH ST N, CLEARWATER, FL 33760-9900
(727) 824-8181
(727) 824-8165
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
10661
FL
208000000X
Pediatrics Physician
Primary
10661
FL
208000000X
Pediatrics Physician
242970
NY
208000000X
Pediatrics Physician
DO 110214
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001203800
—
FL
05
—
248476020
—
MO
05
—
248476038
—
NY
Enumeration date
06/05/2006
Last updated
05/09/2024
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