MEDICARE: ROBERT M PEROVICH MD PA

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
1	2084P0800X	Psychiatry Physician	ME64016	FL

General Provider Information

NPI Number	:	1710987557
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT M PEROVICH MD PA

Provider Business Mailing Address
First Line	:	9080 KIMBERLY BLVD STE 5
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33434-2862
Country	:	US
Telephone Number	:	954-346-9404
Fax Number	:	954-344-8460

Provider Business Practice Location Address
First Line	:	9080 KIMBERLY BLVD STE 5
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33434-2862
Country	:	US
Telephone Number	:	954-346-9404
Fax Number	:	954-344-8460

Authorized Official
Title or Position	:	MD
Name	:	DR. ROBERT MICHAEL PEROVICH
Credential	:	MD
Telephone Number	:	954-346-9404

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	05/07/2025

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