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NPI Code Detail

MEDICARE: MS. PAMELA MARIE PERRIN APRN

MEDICARE: MS. PAMELA MARIE PERRIN APRN
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
1363LF0000XFamily Nurse Practitioner1375092FL
2363L00000XNurse PractitionerARNP1375092FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12007009322-22OTHERFLFAMILY NURSE PRACTITIONER

General Provider Information

NPI Number : 1831374685
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PAMELA MARIE PERRIN APRN
Provider Business Mailing Address
First Line : 3180 CURLEW ROAD
Second Line : SUITE 106
City : OLDSMAR
State : FL
Zip : 34677-2629
Country : US
Telephone Number : 850-778-1547
Fax Number : 727-286-7738
Provider Business Practice Location Address
First Line : 3180 CURLEW ROAD
Second Line : SUITE 106
City : OLDSMAR
State : FL
Zip : 34677-2629
Country : US
Telephone Number : 850-778-1547
Fax Number : 727-286-7738
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2007
Last Update Date : 09/13/2021

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