Individual
RYAN J PEREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1301 PLANTATION ISLAND DR S, STE 203, ST AUGUSTINE, FL 32080-3108
(904) 461-0821
(904) 461-0823
Mailing address
1301 PLANTATION ISLAND DR S, STE 203A, ST AUGUSTINE, FL 32080-3108
(904) 461-0821
(904) 461-0823
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3002
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340356400
—
FL
01
—
65756
BCBS
FL
Enumeration date
12/22/2005
Last updated
01/14/2025
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