MEDICARE: PERRI L DUMBACHER MD

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	207Q00000X	Family Medicine Physician	43827	CO
2	207Q00000X	Family Medicine Physician	ME60508	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	14927	OTHER	FL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497705131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PERRI L DUMBACHER MD

Provider Business Mailing Address
First Line	:	7560 RED BUG LAKE RD
Second Line	:	SUITE 2048
City	:	OVIEDO
State	:	FL
Zip	:	32765-6591
Country	:	US
Telephone Number	:	407-366-8856
Fax Number	:	407-977-4319

Provider Business Practice Location Address
First Line	:	7560 RED BUG LAKE RD
Second Line	:	SUITE 2048
City	:	OVIEDO
State	:	FL
Zip	:	32765-6591
Country	:	US
Telephone Number	:	407-366-8856
Fax Number	:	407-977-4319

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

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	01/13/2015

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Directions to “ PERRI L DUMBACHER MD” Practice Location

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