Perdzock, Ryan
Perdzock, Ryan is an individual health care provider with primary practice located at 311 9Th St N Ste 110 , Naples FL 34102-5886. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Perdzock, Ryan can be contacted via phone (239) 624-8490.Contact Information
Primary practice address
311 9Th St N Ste 110
Naples FL 34102-5886
Phone: (239) 624-8490
Fax: (239) 624-8491
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207QH0002X | ME132085 | Florida |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | TRN# 19961 | Florida |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | ME132085 | Florida |
Profile Details
| NPI number | 1710398656 |
|---|---|
| LBN Legal business name | Perdzock, Ryan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 14th, 2014 |
| Last updated | Mar 10th, 2023 - about 3 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 | 1710398656 | NPPES |
| Florida | MEDICAID | 021889600 | |
| Florida | Other | 4IV89 |
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