Individual
ELIZAZETH PERKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3115 W COLUMBUS DR, TAMPA, FL 33607-1865
(813) 422-2599
Mailing address
2849 CHANCERY LN STE 106, CLEARWATER, FL 33759-1427
(813) 422-2599
(813) 422-2599
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN15530
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014265500
—
FL
Enumeration date
09/06/2006
Last updated
10/26/2020
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