Doctor Name: | DR. MIKE PERL |
NPI Number: | 1215980438 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D |
License Number: | ME48608 |
Business Practice Address: | 2825 North State Rd 7 Suite 204 Margate, FL - 33063 |
Business Phone Number: | 9549351477 |
Business Fax Number: | 9546568856 |
Mailing Address: | 10051 5th Street North, Suite 200 ST PETERSBURG |
State: | FL |
Postal Code: | 33702 |
Phone Number: | 9546568855 |
Fax Number: | 9546568856 |
NPI Enumeration Date: | 05/18/2006 |
NPI Last Update Date: | 05/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ME48608 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |