Individual
RYAN S PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10881 SAN JOSE BLVD, JACKSONVILLE, FL 32223-6612
(904) 880-5522
(904) 880-5533
Mailing address
10881 SAN JOSE BLVD, JACKSONVILLE, FL 32223-6612
(904) 880-5522
(904) 880-5533
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME68586
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00741474A
—
GA
01
—
08691
HEALTHEASE
FL
01
—
213239
AVMED
FL
01
—
28750
WELLCARE
FL
01
—
3602304
UNITED HEALTHCARE
FL
05
—
378240900
—
FL
01
—
726514800
CIGNA
FL
01
—
7299313
G H I
FL
01
—
920001650
RAILROAD MEDICARE
FL
Enumeration date
06/14/2005
Last updated
09/27/2012
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