Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Charles Emerson Peterman III, ATC

Individual provider Athletic Trainer · NPI 1073728275

Mr. Charles Emerson Peterman III, ATC is an Athletic Trainer in St Petersburg, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

4600 4th St N
St Petersburg, FL 33703-3802
Phone: (727) 369-5039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AL849 (FL)

Record details

NPI number1073728275
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedMay 11, 2007
Last updated in NPPESFebruary 17, 2009

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