MEDICARE: DR. DAVID C PERRY 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	207XX0801X	Orthopaedic Trauma Physician	ME0073883	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1057710001	OTHER	FL	PALMETTO-GROUP
2	41890	OTHER	FL	BCBS-INDIVIDUAL
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508802323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID C PERRY MD

Provider Business Mailing Address
First Line	:	3428 N ROOSEVELT BLVD
Second Line	:
City	:	KEY WEST
State	:	FL
Zip	:	33040-4224
Country	:	US
Telephone Number	:	305-295-9797
Fax Number	:	305-295-9796

Provider Business Practice Location Address
First Line	:	3428 N ROOSEVELT BLVD
Second Line	:
City	:	KEY WEST
State	:	FL
Zip	:	33040-4224
Country	:	US
Telephone Number	:	305-295-9797
Fax Number	:	305-295-9796

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

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	09/12/2011

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Directions to “ DR. DAVID C PERRY MD” Practice Location

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