Individual
ERIC CHRISTOPHER PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
2435 US HIGHWAY 19 STE 300, HOLIDAY, FL 34691-3909
(352) 400-1110
Mailing address
10032 E BASS CIR, INVERNESS, FL 34450-5449
(352) 423-4014
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RT12755
FL
2279H0200X
Home Health Registered Respiratory Therapist
RT12755
FL
Other
Enumeration date
05/23/2017
Last updated
09/18/2020
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