Individual
DR. JOSEPH PETER RAY PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD # 100275, GAINESVILLE, FL 32610-5300
(352) 273-8495
Mailing address
1600 SW ARCHER RD # 100275, GAINESVILLE, FL 32610-3003
(352) 273-8495
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME121279
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013029000
—
FL
05
—
VAD000
—
TX
Enumeration date
01/06/2006
Last updated
07/21/2022
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