Healthcare Provider Details

I. General information

NPI: 1669855045
Provider Name (Legal Business Name): WILLIAM BRADFORD PERRY PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2015
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 GULF BLVD
ST PETE BEACH FL
33706-3832
US

IV. Provider business mailing address

4401 GULF BLVD
ST PETE BEACH FL
33706-3832
US

V. Phone/Fax

Practice location:
  • Phone: 727-367-7754
  • Fax:
Mailing address:
  • Phone: 727-367-7754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS67687
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number25094
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH029712
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: