Individual
BETH ANNE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6559 N WICKHAM RD STE C-105, MELBOURNE, FL 32940-2039
(321) 395-3298
(321) 241-1161
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9109586
FL
363AM0700X
Medical Physician Assistant
PA02723
TX
Other
Enumeration date
06/27/2006
Last updated
10/07/2024
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