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1124003546 NPI number — ANTHONY TREVOR PERRIN DO

NPI Number: 1124003546
Health Care Provider/Practitioner: ANTHONY TREVOR PERRIN DO

Information about “1124003546” NPI (ANTHONY TREVOR PERRIN DO) exists in 1124003546 in HTML format HTML  |  1124003546 in plain Text format TXT  |  1124003546 in PDF (Portable Document Format) PDF  |  1124003546 in an XML format XML  formats.

NPI Number : 1124003546 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124003546",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PERRIN",
    "FirstName": "ANTHONY",
    "MiddleName": "TREVOR",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DO",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 952816",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAKE MARY",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32795-2816",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "407-716-5776",
    "MailingAddressFaxNumber": "321-256-0667",
    "FirstLinePracticeLocationAddress": "1236 ROYAL PALM BLVD",
    "SecondLinePracticeLocationAddress": "SUITE 108",
    "PracticeLocationAddressCityName": "ROYAL PALM BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33411",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "561-774-8660",
    "PracticeLocationAddressFaxNumber": "561-774-8665",
    "EnumerationDate": "12/08/2005",
    "LastUpdateDate": "09/19/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207VX0000X",
          "TaxonomyName": "Obstetrics Physician",
          "LicenseNumber": "02008625A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207V00000X",
          "TaxonomyName": "Obstetrics & Gynecology Physician",
          "LicenseNumber": "OS8957",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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