Provider Demographics
NPI:1508802323
Name:PERRY, DAVID C (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:C
Last Name:PERRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3428 N ROOSEVELT BLVD
Mailing Address - Street 2:
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-4224
Mailing Address - Country:US
Mailing Address - Phone:305-295-9797
Mailing Address - Fax:305-295-9796
Practice Address - Street 1:3428 N ROOSEVELT BLVD
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-4224
Practice Address - Country:US
Practice Address - Phone:305-295-9797
Practice Address - Fax:305-295-9796
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0073883207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1057710001OtherPALMETTO-GROUP
FL41890OtherBCBS-INDIVIDUAL
FL252610700Medicaid
FLF90203Medicare UPIN
FL1057710001OtherPALMETTO-GROUP