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NPI Code Detail

MEDICARE: MRS. LUENDA PEARL PERKINS MSN FNP-BC

MEDICARE: MRS. LUENDA PEARL PERKINS MSN FNP-BC
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
1363LF0000XFamily Nurse Practitioner12231CA
2363LF0000XFamily Nurse PractitionerAPRN11042849FL

General Provider Information

NPI Number : 1568591881
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LUENDA PEARL PERKINS MSN FNP-BC
Provider Business Mailing Address
First Line : 770 W GRANADA BLVD STE 101
Second Line :
City : ORMOND BEACH
State : FL
Zip : 32174-5179
Country : US
Telephone Number : 386-231-4519
Fax Number : 386-368-8927
Provider Business Practice Location Address
First Line : 301 MEMORIAL MEDICAL PKWY
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32117-5167
Country : US
Telephone Number : 386-231-1500
Fax Number : 386-231-1598
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2007
Last Update Date : 05/26/2026

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