Individual
ELLIOTT J. PERRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1749 SW CATALONIA ST, PORT SAINT LUCIE, FL 34987-2072
(772) 634-6754
(772) 877-3100
Mailing address
1749 SW CATALONIA ST, PORT SAINT LUCIE, FL 34987-2072
(772) 634-6754
(772) 877-3100
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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