Individual
NOEL MASTERS PERRY
Active
Individual
NOEL MASTERS PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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
Update your record
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