Perry, Jacquelyn S

Perry, Jacquelyn S is an sole proprietor health care provider with primary practice located at 3601 Sw 160Th Ave Suite 250, Miramar FL 33027-6308. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Perry, Jacquelyn S can be contacted via phone (877) 866-7123.

Contact Information

Primary practice address
3601 Sw 160Th Ave Suite 250 Miramar FL 33027-6308
Phone: (877) 866-7123
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 0116018730 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD.30790 Alabama

Profile Details

NPI number 1457512790
LBN Legal business name Perry, Jacquelyn S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2008
Last updated May 14th, 2012 - about 14 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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