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NPI Code Detail

MEDICARE: ELIZABETH PETERS

MEDICARE: ELIZABETH PETERS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1407783236
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH PETERS
Provider Business Mailing Address
First Line : 6343 FALBRIDGE CT
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32258-9436
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3599 UNIVERSITY BLVD S
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-4252
Country : US
Telephone Number : 904-713-7223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2026
Last Update Date : 05/06/2026

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Directions to “ ELIZABETH PETERS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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