Gary Eugene Perigo L.M.T.

NPI 1366614596 - Specialist - 174400000X

NPI Details
NPI 1366614596
Gender Male
Enumeration Date 03/27/2008
Last Updated 03/27/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
34001 TERRAGONA DR
SORRENTO FL, 32776-6926, US
Phone (321) 356-6544
Fax
Business Location
34001 TERRAGONA DR
SORRENTO FL, 32776-6926, US
Phone (321) 356-6544
Fax
Toxanomy
Taxonomy Code 174400000X
License State Florida
License Number MA14071
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According to our database, Gary Eugene Perigo L.M.T. NPI is 1366614596, taxonomy code is 174400000X and license number is MA14071, license state is located at Florida. Gary Eugene Perigo L.M.T. physically located at 34001 Terragona Dr, Sorrento FL, 32776-6926. NPI Number Gary Eugene Perigo L.M.T. has the Individual type.

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1366614596 NPI number is provided on an as is basis without warranty of any kind. 1366614596 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Eugene Perigo L.M.T. are for informational purposes only.