Peters, Bruce B

Peters, Bruce B is an individual health care provider with primary practice located at 707 Druid Rd E , Clearwater FL 33756-3913. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Peters, Bruce B can be contacted via phone (727) 824-8181.

Contact Information

Primary practice address
707 Druid Rd E Clearwater FL 33756-3913
Phone: (727) 824-8181
Fax: (727) 443-7230
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X DO 110214 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 242970 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 10661 Florida
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 10661 Florida

Profile Details

NPI number 1538108758
LBN Legal business name Peters, Bruce B
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated May 9th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538108758 NPPES
Florida MEDICAID 001203800
Florida MEDICAID 248476038
Florida MEDICAID 248476020

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