Perry, Joseph L
Perry, Joseph L is an individual health care provider with primary practice located at 709 S Harbor City Blvd Ste 110 , Melbourne FL 32901-1938. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Perry, Joseph L can be contacted via phone (321) 499-4646.Contact Information
Primary practice address
709 S Harbor City Blvd Ste 110
Melbourne FL 32901-1938
Phone: (321) 499-4646
Fax: (321) 270-9449
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9109578 | Florida |
Profile Details
NPI number | 1952375776 |
---|---|
LBN Legal business name | Perry, Joseph L |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 16th, 2006 |
Last updated | Aug 21st, 2023 - about last year |
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 | 1952375776 | NPPES |
Florida | Other | 9SQWD | FLORIDA BLUE |
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