Individual
C S PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD PA
Contact information
Practice address
111 N JOHN SIMS PKWY, VALPARAISO, FL 32580-1005
(850) 678-1722
Mailing address
111 N JOHN SIMS PKWY, VALPARAISO, FL 32580-1005
(850) 678-1722
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP0001109
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084488800
—
FL
Enumeration date
10/03/2006
Last updated
12/02/2010
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