Individual
BROCK PERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
661 E ALTAMONTE DR STE 325, ALTAMONTE SPRINGS, FL 32701-5103
(407) 303-4120
(407) 303-4124
Mailing address
661 E ALTAMONTE DR STE 325, ALTAMONTE SPRINGS, FL 32701-5103
(407) 303-4120
(407) 303-4124
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9114893
FL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/08/2021
Last updated
10/10/2022
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