Pereira, Ryan J

Pereira, Ryan J is an individual health care provider with primary practice located at 1301 Plantation Island Dr S Ste 203, St Augustine FL 32080-3108. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Pereira, Ryan J can be contacted via phone (904) 461-0821.

Contact Information

Primary practice address
1301 Plantation Island Dr S Ste 203 St Augustine FL 32080-3108
Phone: (904) 461-0821
Fax: (904) 461-0823
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO3002 Florida

Profile Details

NPI number 1033195979
LBN Legal business name Pereira, Ryan J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Jan 14th, 2025 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033195979 NPPES
Florida MEDICAID 340356400
Florida Other 65756

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