Russell E. Perry, M.d., P.a. | |
406 Palmetto St Ste A New Smyrna Beach FL 32168-7323 | |
(386) 423-1212 | |
(386) 423-5730 |
Full Name | Russell E. Perry, M.d., P.a. |
---|---|
Speciality | Internal Medicine |
Location | 406 Palmetto St Ste A, New Smyrna Beach, Florida |
Authorized Official Name and Position | Roxann Perry (OFFICE MANAGER) |
Authorized Official Contact | 3864231212 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Russell E. Perry, M.d., P.a. 406 Palmetto St Ste A New Smyrna Beach FL 32168-7323 Ph: (386) 423-1212 | Russell E. Perry, M.d., P.a. 406 Palmetto St Ste A New Smyrna Beach FL 32168-7323 Ph: (386) 423-1212 |
NPI Number | 1144417387 |
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Provider Enumeration Date | 10/02/2007 |
Last Update Date | 01/28/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144417387 | NPI | - | NPPES |
64384 | Other | FL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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