| Doctor Name: | RYAN PERDZOCK |
| NPI Number: | 1710398656 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | TRN# 19961 |
| Business Practice Address: | 800 Meadows Rd Boca Raton Regional Hospital Boca Raton, FL - 33486 |
| Business Phone Number: | 5619555365 |
| Business Fax Number: | 5619553577 |
| Mailing Address: | 777 Glades Rd., Bc 71, Internal Medicine Residency Program, Com, Fau BOCA RATON |
| State: | FL |
| Postal Code: | 33431 |
| Phone Number: | 5619555365 |
| Fax Number: | 5619553577 |
| NPI Enumeration Date: | 05/14/2014 |
| NPI Last Update Date: | 05/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | TRN# 19961 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |