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NPI Code Detail

MEDICARE: DR. JASON PERRY M.D.

MEDICARE:  DR. JASON  PERRY  M.D.
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
1207RS0010XSports Medicine (Internal Medicine) PhysicianME124182FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518257666
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JASON PERRY M.D.
Provider Business Mailing Address
First Line : 33 E CAMINO REAL
Second Line : APT 331
City : BOCA RATON
State : FL
Zip : 33432-6149
Country : US
Telephone Number : 954-547-0088
Fax Number :
Provider Business Practice Location Address
First Line : 3313 W HILLSBORO BLVD
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33442-9423
Country : US
Telephone Number : 954-571-9500
Fax Number : 954-571-9560
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2011
Last Update Date : 10/26/2015

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Directions to “ DR. JASON PERRY M.D.” Practice Location

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