Individual
MR. BRUCE WILBERFORCE PETERS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
823 W CENTRAL BLVD, ORLANDO, FL 32805-1808
(407) 347-7396
Mailing address
PO BOX 550116, ORLANDO, FL 32855-0116
(407) 347-7396
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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