Dana L Broussard Perry in Orlando - Pediatric Allergy/immunology

Dana L Broussard Perry - NPI 1306870530

Dana L Broussard Perry is a Pediatric Allergy/immunology in Orlando, Florida. Dana L Broussard Perry practices all healthcare services and medical treatments related to Pediatric Allergy/immunology. The NPI Number for Dana L Broussard Perry is 1306870530. The last update date is 2022-12-30.

Dana L Broussard Perry's current location address is 8946 Conroy Windermere Rd, Orlando, Florida. You can contact this provider via phone number 4078761009 and fax number 4078766742. The mailing address for Dana L Broussard Perry is 8946 Conroy Windermere Rd, Orlando, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Dana L Broussard Perry
Address 8946 Conroy Windermere Rd, Orlando, Florida
Phone Number 4078761009
Fax Number 4078766742
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1306870530
Provider Enumeration Date 2006-07-11
Last Updated Date 2022-12-30

Provider Mailing Address Detail

Address 8946 Conroy Windermere Rd
City Orlando
State Florida (FL)
Post Code 328353128
Phone Number 4078761009
Fax Number 4078766742

Provider's Primary Taxonomy Detail

Speciality Pediatric Allergy/immunology
Taxonomy 2080P0201X
Licence No ME68693
Definition:
A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6608772006 FL CIGNA
27553 FL BLUE CROSS BLUE SHIELD
5184005 FL AETNA

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FAQs about Dana L Broussard Perry

What is the unique 10-digit identification code assigned to Dana L Broussard Perry by the Centers for Medicare & Medicaid Services?

The Dana L Broussard Perry has been issued the NPI (National Provider Identifier) 1306870530, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Dana L Broussard Perry is geographically located?

The Dana L Broussard Perry is physically situated at the following location: 8946 Conroy Windermere Rd, Orlando, FL, 328353128.

What is Dana L Broussard Perry's area of expertise and its corresponding taxonomy classification?

The Dana L Broussard Perry's field of specialization is Pediatric Allergy/immunology, and it falls under the taxonomy code 2080P0201X, which categorizes healthcare providers based on their areas of practice.

On what date did Dana L Broussard Perry receive its 1306870530 assignment from the Centers for Medicare & Medicaid Services?

The Dana L Broussard Perry was assigned its 1306870530 on 2006-07-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Dana L Broussard Perry most recently updated or refreshed?

The details pertaining to the Dana L Broussard Perry, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-12-30.

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