MEDICARE: DESMOND PERRIGORD

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	101YM0800X	Mental Health Counselor	26980	FL

General Provider Information

NPI Number	:	1437958774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DESMOND PERRIGORD

Provider Business Mailing Address
First Line	:	1530 CRESCENT CIR APT 7
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33403-2255
Country	:	US
Telephone Number	:	325-320-8001
Fax Number	:

Provider Business Practice Location Address
First Line	:	1530 CRESCENT CIR APT 7
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33403-2255
Country	:	US
Telephone Number	:	325-320-8001
Fax Number	:

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

Provider Enumeration Date	:	03/10/2025
Last Update Date	:	03/10/2025

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Directions to “ DESMOND PERRIGORD ” Practice Location

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