Perry, Theodore G

Perry, Theodore G is an individual health care provider with primary practice located at 920 37Th Pl Ste. 104, Vero Beach FL 32960-6573. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Perry, Theodore G can be contacted via phone (772) 562-9899.

Contact Information

Primary practice address
920 37Th Pl Ste. 104 Vero Beach FL 32960-6573
Phone: (772) 562-9899
Fax: (772) 562-6237
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME0058748 Florida

Profile Details

NPI number 1619081387
LBN Legal business name Perry, Theodore G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated May 3rd, 2016 - about 10 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 1619081387 NPPES
Florida Other 23154 BCBS#
Florida MEDICAID 373707100 BCBS#
Florida Other 43644 BCBS#
Florida Other 020037078 BCBS#

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