Lawrence Reginald Perdue in Palm Bay - Chiropractor

Lawrence Reginald Perdue - NPI 1427144930

Lawrence Reginald Perdue is a Chiropractor in Palm Bay, Florida. Lawrence Reginald Perdue practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Lawrence Reginald Perdue is 1427144930. The last update date is 2012-06-01.

Lawrence Reginald Perdue's current location address is 1051 Port Malabar Blvd Ne, Palm Bay, Florida. You can contact this provider via phone number 3219845355 and fax number 3219847206. The mailing address for Lawrence Reginald Perdue is 1051 Port Malabar Blvd Ne, Palm Bay, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Lawrence Reginald Perdue
Address 1051 Port Malabar Blvd Ne, Palm Bay, Florida
Phone Number 3219845355
Fax Number 3219847206
Sole Proprietor Y
Credentials DC

NPI Number Detail

NPI Number 1427144930
Provider Enumeration Date 2006-10-04
Last Updated Date 2012-06-01

Provider Mailing Address Detail

Address 1051 Port Malabar Blvd Ne
City Palm Bay
State Florida (FL)
Post Code 329055153
Phone Number 3219845355
Fax Number 3219847206

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No CH006225
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
310495600 FL WORKERS COMP
22704 FL BLUE CROSS BLUE SHIELD

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FAQs about Lawrence Reginald Perdue

What is the unique 10-digit identification code assigned to Lawrence Reginald Perdue by the Centers for Medicare & Medicaid Services?

The Lawrence Reginald Perdue has been issued the NPI (National Provider Identifier) 1427144930, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Lawrence Reginald Perdue located?

The Lawrence Reginald Perdue is located at 1051 Port Malabar Blvd Ne, Palm Bay, FL 329055153.

What is Lawrence Reginald Perdue's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Lawrence Reginald Perdue is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.

On what date did the Lawrence Reginald Perdue receive its 1427144930 assignment from the Centers for Medicare & Medicaid Services?

The Lawrence Reginald Perdue was assigned its 1427144930 by the Centers for Medicare & Medicaid Services on 2006-10-04.

When was the information regarding Lawrence Reginald Perdue, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Lawrence Reginald Perdue, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-06-01.

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