Perry, Bernavette Pamela

Perry, Bernavette Pamela is an individual health care provider with primary practice located at 565 Memorial Cir , Ormond Beach FL 32174-5001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Perry, Bernavette Pamela can be contacted via phone (386) 310-8766.

Contact Information

Primary practice address
565 Memorial Cir Ormond Beach FL 32174-5001
Phone: (386) 310-8766
Fax: (386) 810-8770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X A.R.N.P.2752172 Florida

Profile Details

NPI number 1376620534
LBN Legal business name Perry, Bernavette Pamela
Credentials A.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Nov 19th, 2019 - about 5 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 1376620534 NPPES
Florida MEDICAID 300996300

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