Individual
JOSEPH L PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
709 S HARBOR CITY BLVD STE 110, MELBOURNE, FL 32901-1938
(321) 499-4646
(321) 270-9449
Mailing address
709 S HARBOR CITY BLVD STE 110, MELBOURNE, FL 32901-1938
(321) 499-4646
(321) 270-9449
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9109578
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9SQWD
FLORIDA BLUE
FL
Enumeration date
02/16/2006
Last updated
08/21/2023
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