Individual
MR. JOSEPH PERRETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.P.
Contact information
Practice address
510 SW PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34953-1943
(772) 871-9200
(772) 336-4040
Mailing address
510 SW PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34953-1943
(772) 871-9200
(772) 336-4040
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
PRO84
FL
Other
Enumeration date
01/25/2007
Last updated
12/13/2007
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