Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 07000942 | IN |
N | 222Z00000X | Podiatrist | 07000942 | IN |
Y | 213E00000X | Podiatrist | PO3031 | FL |
Y | 222Z00000X | Podiatrist | PO3031 | FL |
NPI | 1063507176 |
---|---|
Provider Name | Dr. Adam D Perler |
First Address | Largo, FL 33773-3430 |
Second Address | Largo, FL 33773-3437 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 06/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200450000 | (05) | IN |