Rhonda Perdue Phd Pa | |
10111 W Forest Hill Blvd Suite 369 Wellington FL 33414-6108 | |
(561) 784-7767 | |
Not Available |
Full Name | Rhonda Perdue Phd Pa |
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Speciality | Psychologist |
Location | 10111 W Forest Hill Blvd, Wellington, Florida |
Authorized Official Name and Position | Karl Perdue (VICE PRESIDENT) |
Authorized Official Contact | 5612714394 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Rhonda Perdue Phd Pa 10111 W Forest Hill Blvd Suite 369 Wellington FL 33414-6108 Ph: (561) 784-7767 | Rhonda Perdue Phd Pa 10111 W Forest Hill Blvd Suite 369 Wellington FL 33414-6108 Ph: (561) 784-7767 |
NPI Number | 1710152780 |
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Provider Enumeration Date | 04/29/2008 |
Last Update Date | 04/30/2008 |
Medicare PECOS PAC ID | 5890712863 |
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Medicare Enrollment ID | O20051028000493 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710152780 | NPI | - | NPPES |
K8783 | Other | FL | MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PY5257 (Florida) | Primary |
Provider Name | Rhonda S Perdue |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1992861272 PECOS PAC ID: 7113944182 Enrollment ID: I20051031000135 |
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