Individual
DOREEN PALMER-PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 SPYGLASS CT, MELBOURNE, FL 32940-8288
(321) 259-9606
Mailing address
2185 SUMMER BROOK ST, MELBOURNE, FL 32940-7178
(321) 426-9059
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA18385
LICENSE#
FL
Enumeration date
11/21/2006
Last updated
07/08/2007
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