Individual provider · Type 1 NPI

Cory Grant Peters, PA

Surgical Physician Assistant · Jacksonville, FL

NPI number 1144395708 Active

Practice location

10475 Centurion Pkwy N, Suite 220
Jacksonville, FL 32256

Call (904) 634-0640 Map

Fax (904) 634-0203

Mailing address

6800 Southpoint Pkwy Ste 300
Jacksonville, FL 32216-8203

Other practice locations

  • 1690 US Highway 1 S Ste F, St. Augustine, FL 32084-6024 · (904) 634-0640
  • 232 Ponte Vedra Park Dr, Ponte Vedra Beach, FL 32082-6600 · (904) 634-0640
  • 232 Ponte Vedra Park Dr, Ponte Vedra Beach, FL 32082-6600 · (904) 634-0264
  • 2627 Riverside Ave Ste 300, Jacksonville, FL 32204-4717 · (904) 634-0640
  • 2 Shircliff Way Ste 605, Jacksonville, FL 32204-4762 · (904) 634-0640
  • 3055 County Road 210 W Ste 110, St. Johns, FL 32259-7001 · (904) 634-0640
  • 15255 Max Legget Pkwy Ste 5300, Jacksonville, FL 32218-7274 · (904) 634-0640
  • 4565 US Highway 17 Ste 200, Fleming Island, FL 32003-4823 · (904) 634-0640
  • 216 Southpark Cir E Ste 216, St. Augustine, FL 32086-5135 · (904) 634-0640
  • 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 · (904) 953-2000

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA9106781 (FL)
Physician Assistant 363A00000XPA9106781 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1144395708

Cory Grant Peters, PA's National Provider Identifier is 1144395708, issued on Nov 21, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 26, 2024.