Individual
DANA L BROUSSARD PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8946 CONROY WINDERMERE RD, ORLANDO, FL 32835-3128
(407) 876-1009
(407) 876-6742
Mailing address
1507 S HIAWASSEE RD STE 103, ORLANDO, FL 32835-5706
(407) 876-1009
(407) 876-6742
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
ME68693
FL
207KA0200X
Allergy Physician
Primary
ME68693
FL
2080P0201X
Pediatric Allergy/Immunology Physician
ME68693
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27553
BLUE CROSS BLUE SHIELD
FL
01
—
5184005
AETNA
FL
01
—
6608772006
CIGNA
FL
Enumeration date
07/11/2006
Last updated
03/24/2025
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