Individual provider · Type 1 NPI

Jerrin Peter, MD

Student in an Organized Health Care Education/Training Program · Gainesville, FL

NPI number 1104672708 Active

Practice location

4101 NW 89th Blvd
Gainesville, FL 32606-3813

Mailing address

4101 NW 89th Blvd Rm 1788
Gainesville, FL 32606-3813

Other practice locations

  • 101 Nicolls Rd, Stony Brook, NY 11794-0001 · (631) 444-2990

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104672708

Jerrin Peter, MD's National Provider Identifier is 1104672708, issued on Apr 25, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gainesville, FL. The record was last updated on Jun 25, 2026.