Individual
MARK PERNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
15100 RESCUE WAY, CLEARWATER, FL 33762-3502
(727) 535-1437
(727) 535-4190
Mailing address
24740 ENERGY HWY, NEW MARTINSVILLE, WV 26155-8570
(912) 659-1544
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS008592L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101436352
—
PA
Enumeration date
03/07/2006
Last updated
05/01/2018
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