Perry, Peter

Perry, Peter is an individual health care provider with primary practice located at 1409 Kingsley Ave Suite 6A, Orange Park FL 32073-4537. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Perry, Peter can be contacted via phone (904) 264-7517.

Contact Information

Primary practice address
1409 Kingsley Ave Suite 6A Orange Park FL 32073-4537
Phone: (904) 264-7517
Fax: (904) 264-0015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9103649 Florida

Profile Details

NPI number 1003878026
LBN Legal business name Perry, Peter
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Aug 7th, 2017 - about 7 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 1003878026 NPPES
Florida MEDICAID 293082000

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