MEDICARE: JOSEPH L PERRY PA-C

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	363A00000X	Physician Assistant	PA9109578	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9SQWD	OTHER	FL	FLORIDA BLUE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952375776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH L PERRY PA-C

Provider Business Mailing Address
First Line	:	709 S HARBOR CITY BLVD STE 110
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32901-1938
Country	:	US
Telephone Number	:	321-499-4646
Fax Number	:	321-270-9449

Provider Business Practice Location Address
First Line	:	709 S HARBOR CITY BLVD STE 110
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32901-1938
Country	:	US
Telephone Number	:	321-499-4646
Fax Number	:	321-270-9449

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2006
Last Update Date	:	08/21/2023

Similar Medicare Providers

1851907828 — TOTAL SPINE & WELLNESS
Practice Location Address:

709 S HARBOR CITY BLVD STE 110
MELBOURNE, FL
32901-1938

Practice Phone: 321-499-4646
Practice Fax:

1275521163 — DR. THOMAS R FOSTER MD
Practice Location Address:

709 S HARBOR CITY BLVD , SUITE 100
MELBOURNE, FL
32901-1938

Practice Phone: 321-722-0423
Practice Fax: 866-747-3794

1093795692 — DR. JEROME GUZMAN M.D.
Practice Location Address:

709 S HARBOR CITY BLVD , SUITE 100
MELBOURNE, FL
32901-1938

Practice Phone: 321-725-2225
Practice Fax: 321-308-0635

1669449575 — DR. KENNETH C SANDS MD
Practice Location Address:

709 S HARBOR CITY BLVD , SUITE 100
MELBOURNE, FL
32901-1938

Practice Phone: 321-725-2225
Practice Fax: 321-308-0635

1639137839 — MR. ROBERT E. WALSH PA-C
Practice Location Address:

709 S HARBOR CITY BLVD , SUITE 100
MELBOURNE, FL
32901-1938

Practice Phone: 321-725-2225
Practice Fax: 321-802-5804

1649332149 — DR. DENNIS EDWARD JONES MD
Practice Location Address:

709 S HARBOR CITY BLVD STE 110
MELBOURNE, FL
32901-1938

Practice Phone: 321-499-4646
Practice Fax: 321-270-9449

Directions to “ JOSEPH L PERRY PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.