Individual
DR. JOHN J. PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 W HIBISCUS BLVD, MELBOURNE, FL 32901-2615
(321) 500-5633
(321) 617-5633
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 500-5633
(321) 617-5633
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME103032
FL
207XX0801X
Orthopaedic Trauma Physician
ME103032
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002538000
—
FL
01
—
148YU
BCBS OF FL
FL
01
—
9146570
AETNA
FL
01
—
LQ304
FL HFMG MEDICARE
FL
01
—
P00895831
RR MEDICARE
FL
01
—
P00901827
FL HFMG RR MEDICARE
FL
Enumeration date
01/26/2007
Last updated
03/29/2021
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