Individual
DR. EDWIN JONATHAN PERRY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1803 MICCOSUKEE COMMONS DR STE 202, TALLAHASSEE, FL 32308-7403
(850) 402-6215
(850) 894-6768
Mailing address
PO BOX 12427, TALLAHASSEE, FL 32317-2427
(850) 297-0114
(850) 297-0314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME144308
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106444900
—
FL
Enumeration date
04/25/2017
Last updated
06/29/2020
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