Individual
DR. MARY LYNN PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
330 E HIBISCUS BLVD, MELBOURNE, FL 32901-3155
(321) 724-2229
(321) 728-6668
Mailing address
330 E HIBISCUS BLVD, MELBOURNE, FL 32901-3155
(321) 724-2229
(321) 728-6668
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OS11333
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002172900
—
FL
Enumeration date
06/16/2006
Last updated
03/05/2015
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