Individual
CODY LEE PERRIGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
4266 SUNBEAM RD, JACKSONVILLE, FL 32257-2425
(904) 407-7710
(904) 407-8131
Mailing address
4266 SUNBEAM RD, JACKSONVILLE, FL 32257-2425
(904) 253-6910
(904) 407-8131
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11001075
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102745900
—
FL
Enumeration date
02/21/2019
Last updated
05/20/2025
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