Individual
NOEL MASTERS PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1824 KING ST, SUITE 200, JACKSONVILLE, FL 32204-4735
(904) 421-5586
(904) 389-6748
Mailing address
1824 KING ST, SUITE 200, JACKSONVILLE, FL 32204-4735
(904) 421-5586
(904) 389-6748
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA1787
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100000513B
—
GA
05
—
290019000
—
FL
01
—
970017538
MEDICARE RAILROAD
—
Enumeration date
06/09/2005
Last updated
01/07/2016
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