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Organization

RHONDA PERDUE PHD PA

Active
Parent organization
RHONDA PERDUE PHD PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
RHONDA PERDUE PHD PA
Authorized official
KARL PERDUE (VICE PRESIDENT)
(561) 271-4394
Entity
Organization

Contact information

Practice address
10111 W FOREST HILL BLVD, SUITE 369, WELLINGTON, FL 33414-6108
(561) 784-7767
Mailing address
10111 W FOREST HILL BLVD, SUITE 369, WELLINGTON, FL 33414-6108
(561) 784-7767

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY5257
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
K8783
MEDICARE GROUP
FL
Enumeration date
04/29/2008
Last updated
04/30/2008
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