Individual
GREGORY PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 MICCOSUKEE RD, BIXLER EMERGENCY CENTER, TALLAHASSEE, FL 32308-5054
(850) 431-0911
(850) 431-0779
Mailing address
1300 MICCOSUKEE RD, BIXLER EMERGENCY CENTER, TALLAHASSEE, FL 32308-5054
(850) 431-0911
(850) 431-0779
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME119128
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2011
Last updated
08/01/2014
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