Individual
MR. DARRELL L PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3280 W AUDUBON PARK PATH, LECANTO, FL 34461-8450
(863) 712-6099
Mailing address
3280 W AUDUBON PARK PATH, LECANTO, FL 34461-8450
(863) 712-6099
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN9285722
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP 9285722
FL
Other
Enumeration date
04/08/2014
Last updated
05/08/2024
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