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NPI Code Detail

MEDICARE: DR. IVOR JOHN PERCENT M.D.

MEDICARE: DR. IVOR JOHN PERCENT M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0000XHematology (Internal Medicine) PhysicianME101745FL
2207RX0202XMedical Oncology PhysicianME101745FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00618337OTHERFLRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619053998
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IVOR JOHN PERCENT M.D.
Provider Business Mailing Address
First Line : PO BOX 102222
Second Line :
City : ATLANTA
State : GA
Zip : 30368-2222
Country : US
Telephone Number : 239-274-8200
Fax Number : 239-278-3350
Provider Business Practice Location Address
First Line : 22395 EDGEWATER DR
Second Line :
City : PORT CHARLOTTE
State : FL
Zip : 33980-2012
Country : US
Telephone Number : 941-766-7222
Fax Number : 941-766-0970
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2006
Last Update Date : 08/15/2022

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Directions to “ DR. IVOR JOHN PERCENT M.D.” Practice Location

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