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Individual

DR. DANA EDWARD PERRIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
508 N MARYLAND AVE, PLANT CITY, FL 33563-3820
(813) 349-7600
(813) 349-7661
Mailing address
13110 ELK MOUNTAIN DR, RIVERVIEW, FL 33579-7182
(813) 349-7568
(813) 349-7561

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME90368
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
272647500
FL
Enumeration date
07/19/2006
Last updated
01/05/2012
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