Individual
KRYSTA PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(000) 000-0000
Mailing address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(630) 220-8185
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036147398
IL
207L00000X
Anesthesiology Physician
Primary
ME164020
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2014
Last updated
09/20/2023
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