Individual
DR. PAUL K PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(813) 971-6000
(813) 615-7590
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME40177
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036634000
—
FL
01
—
30479
BCBS OF FLORIDA
FL
Enumeration date
05/23/2006
Last updated
03/15/2010
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