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:
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Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952375776 NPPES
Florida Other 9SQWD FLORIDA BLUE

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