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NPI Code Detail

MEDICARE: DR. ZOEY PERHAM MD

MEDICARE:  DR. ZOEY  PERHAM  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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1548963739
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ZOEY PERHAM MD
Provider Business Mailing Address
First Line : 655 W 8TH ST # C-54
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32209-6511
Country : US
Telephone Number : 904-383-1014
Fax Number : 904-244-5047
Provider Business Practice Location Address
First Line : 655 W 8TH ST # C-54
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32209-6511
Country : US
Telephone Number : 904-383-1014
Fax Number : 904-244-5047
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2023
Last Update Date : 01/21/2026

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