Perussina, Brooke Michelle

Perussina, Brooke Michelle is an individual health care provider with primary practice located at 103 Anastasia Blvd , St Augustine FL 32080. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Perussina, Brooke Michelle can be contacted via phone (904) 825-4747.

Contact Information

Primary practice address
103 Anastasia Blvd St Augustine FL 32080
Phone: (904) 825-4747
Fax: (904) 825-2885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9102180 Florida

Profile Details

NPI number 1700921020
LBN Legal business name Perussina, Brooke Michelle
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Jul 8th, 2007 - about 19 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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