Individual
JEAN PERRAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 BROTHER GEENEN WAY, SARASOTA, FL 34236-7102
(941) 556-3220
(941) 955-8214
Mailing address
2350 SCENIC DR, VENICE, FL 34293-1510
(941) 861-3220
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME 80935
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088721800
—
MN
01
—
100001785
RAILROAD MEDICARE
MN
05
—
32216100
—
WI
05
—
ENROLLED
—
IA
Enumeration date
01/23/2006
Last updated
08/22/2019
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