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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306870530 | NPPES |
| Florida | Other | 6608772006 | CIGNA |
| Florida | Other | 27553 | CIGNA |
| Florida | Other | 5184005 | CIGNA |
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