Perdue, Lawrence Reginald

Perdue, Lawrence Reginald is an sole proprietor health care provider with primary practice located at 1051 Port Malabar Blvd Ne Suite 2, Palm Bay FL 32905-5153. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Perdue, Lawrence Reginald can be contacted via phone (321) 984-5355.

Contact Information

Primary practice address
1051 Port Malabar Blvd Ne Suite 2 Palm Bay FL 32905-5153
Phone: (321) 984-5355
Fax: (321) 984-7206
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH006225 Florida

Profile Details

NPI number 1427144930
LBN Legal business name Perdue, Lawrence Reginald
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Jun 1st, 2012 - about 13 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 1427144930 NPPES
Florida Other 310495600 WORKERS COMP
Florida Other 22704 WORKERS COMP

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