Individual
DR. PETER GRAVES LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5117 26TH ST W, SUITE B, BRADENTON, FL 34207-2203
(941) 567-4078
(941) 896-7878
Mailing address
5117 26TH ST W, SUITE B, BRADENTON, FL 34207-2203
(941) 567-4078
(941) 896-7878
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
13218R
LA
207W00000X
Ophthalmology Physician
Primary
ME102736
FL
Other
Enumeration date
05/18/2006
Last updated
12/02/2015
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