Theodore G Perry, MD
Surgery in Vero Beach, FL. Individual provider (NPI-1).
NPI number1619081387
StatusActive
Last updated in NPPESMar 31, 2025
Details
- NPI
- 1619081387
- Entity type
- Individual (NPI-1)
- Name
- Theodore G Perry
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 18, 2006
- Certification date
- Mar 31, 2025
- Last updated
- Mar 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | ME58748 | FL | Yes |
Practice location
3745 11th Cir Ste 101Vero Beach, FL 32960-4838
Phone 772-589-0580
Mailing address
3745 11th Cir Ste 101Vero Beach, FL 32960-4838
Phone 772-589-0580
Other practice locations
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