MEDICARE: JODI ANN PERRY DO

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	208M00000X	Hospitalist Physician	OS21980	FL
2	207R00000X	Internal Medicine Physician	OS21980	FL

General Provider Information

NPI Number	:	1265182232
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JODI ANN PERRY DO

Provider Business Mailing Address
First Line	:	5301 S CONGRESS AVE
Second Line	:
City	:	ATLANTIS
State	:	FL
Zip	:	33462-1149
Country	:	US
Telephone Number	:	561-548-1450
Fax Number	:	561-548-1459

Provider Business Practice Location Address
First Line	:	180 JFK DR STE 210
Second Line	:
City	:	ATLANTIS
State	:	FL
Zip	:	33462-6641
Country	:	US
Telephone Number	:	561-548-1450
Fax Number	:	561-548-1459

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

Provider Enumeration Date	:	03/24/2022
Last Update Date	:	05/13/2026

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Directions to “ JODI ANN PERRY DO” Practice Location

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