Individual
DR. IVOR JOHN PERCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22395 EDGEWATER DR, PORT CHARLOTTE, FL 33980-2012
(941) 766-7222
(941) 766-0970
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
ME101745
FL
207RX0202X
Medical Oncology Physician
Primary
ME101745
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000270800
—
FL
01
—
P00618337
RR MEDICARE
FL
Enumeration date
10/28/2006
Last updated
08/15/2022
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