Individual
CHRISTOPHER PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6585 HAINES RD N, ST PETERSBURG, FL 33702-6137
(440) 315-8503
(727) 954-6408
Mailing address
6585 HAINES RD N, ST PETERSBURG, FL 33702-6137
(440) 315-8503
(727) 954-6408
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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