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NPI Code Detail

MEDICARE: PATRICIA PEACE

MEDICARE:   PATRICIA  PEACE
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
1101Y00000XCounselor
2101YM0800XMental Health CounselorMH15248FL

General Provider Information

NPI Number : 1134540743
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA PEACE
Provider Business Mailing Address
First Line : 430 SUMMERHAVEN DR STE 200
Second Line :
City : DEBARY
State : FL
Zip : 32713-2755
Country : US
Telephone Number : 407-221-7463
Fax Number :
Provider Business Practice Location Address
First Line : 430 SUMMERHAVEN DR STE 200
Second Line :
City : DEBARY
State : FL
Zip : 32713-2755
Country : US
Telephone Number : 407-221-7463
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2013
Last Update Date : 02/11/2026

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Directions to “ PATRICIA PEACE ” 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.