Provider Demographics
NPI:1659462562
Name:PERRY, WILLIAM STANLEY (HEALTH SERVICES TECH)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:STANLEY
Last Name:PERRY
Suffix:
Gender:M
Credentials:HEALTH SERVICES TECH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4134 FOREST DR
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33332-2136
Mailing Address - Country:US
Mailing Address - Phone:305-953-2266
Mailing Address - Fax:305-953-2308
Practice Address - Street 1:14750 NW 44TH CT
Practice Address - Street 2:
Practice Address - City:OPA LOCKA
Practice Address - State:FL
Practice Address - Zip Code:33054-2304
Practice Address - Country:US
Practice Address - Phone:305-953-2266
Practice Address - Fax:305-953-2308
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other