Cory G. Peters PA
Surgical Physician Assistant in Jacksonville, FL(View on Map)
Full Name
Cory Grant Peters PA
NPI Number
1144395708
NPI Type
Individual Provider
Gender
Male
Enumeration Date
11/21/2006
Specialties
(Taxonomies)Licenses
State
Florida
License Number
PA9106781
Contact
Information
Purpose
Mailing
Location
Address
6800 SOUTHPOINT PKWY STE 300
10475 CENTURION PKWY N
City
Jacksonville
Jacksonville
State
FL
FL
Postal Code
32216-8203
32256
Country
US
US
Telephone Number
(904) 634-0640
(904) 634-0640
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
cpeters2277333@ehrdirect.mayoclinicmsg.org
Endpoint Description
Unknown
Use
Unknown
Content Type
Unknown
Affiliation
N
Endpoint Location
4500 San Pablo Rd SJacksonville, FL322241865US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/26/2024
Provider Address
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