Broussard Perry, Dana L

Broussard Perry, Dana L is an sole proprietor health care provider with primary practice located at 8946 Conroy Windermere Rd , Orlando FL 32835-3128. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Allergy. Allopathic & Osteopathic Physicians / Allergy is her primary health care specialty. Broussard Perry, Dana L can be contacted via phone (407) 876-1009.

Contact Information

Primary practice address
8946 Conroy Windermere Rd Orlando FL 32835-3128
Phone: (407) 876-1009
Fax: (407) 876-6742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X ME68693 Florida
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X ME68693 Florida
Allopathic & Osteopathic Physicians / Allergy 207KA0200X ME68693 Florida

Profile Details

NPI number 1306870530
LBN Legal business name Broussard Perry, Dana L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2006
Last updated Dec 30th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306870530 NPPES
Florida Other 6608772006 CIGNA
Florida Other 27553 CIGNA
Florida Other 5184005 CIGNA

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