Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | ME64460 | FL |
N | 208000000X | Pediatrician | ME64460 | FL |
NPI | 1518926690 |
---|---|
Provider Name | Dr. Anthony Andrew Perszyk |
First Address | Jacksonville, FL 32231-4008 |
Second Address | Jacksonville, FL 32207-8210 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2006 |
Last Update Date | 11/06/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000570424B | (05) | GA |
370020435 | RAILROAD MEDICARE (01) | FL |
3740552-00 | (05) | FL |
E78568 | (02) | FL |