Individual
DR. THOMAS GUY PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0646
(352) 265-0678
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 265-0646
(352) 265-0678
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
ME52942
FL
208600000X
Surgery Physician
Primary
ME52942
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000477551C
—
GA
05
—
0640565-00
—
FL
01
—
P00228295
RAILROAD MEDICARE
FL
Enumeration date
02/21/2006
Last updated
12/28/2011
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