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Organization

RAYMOND E PETERS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN A PETERS (OWNER)
(239) 254-1648
Entity
Organization

Contact information

Practice address
9240 BONITA BEACH RD SE STE 2206, BONITA SPRINGS, FL 34135-4251
(239) 821-8486
(239) 766-7528
Mailing address
9240 BONITA BEACH RD SE STE 2206, BONITA SPRINGS, FL 34135-4251
(239) 821-8486
(239) 254-1576

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1851345771
NPI
FL
01
7639438
AETNA
FL
01
M2606
BCBSFL
FL
Enumeration date
05/22/2006
Last updated
12/08/2021
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