Provider Demographics
NPI:1679536437
Name:PERIUT, PERLA ISABEL (MD)
Entity Type:Individual
Prefix:
First Name:PERLA
Middle Name:ISABEL
Last Name:PERIUT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9960 NW 116TH WAY
Mailing Address - Street 2:SUITE 13
Mailing Address - City:MEDLEY
Mailing Address - State:FL
Mailing Address - Zip Code:33178-1167
Mailing Address - Country:US
Mailing Address - Phone:786-924-1311
Mailing Address - Fax:786-924-1313
Practice Address - Street 1:8940 N KENDALL DR STE 802E
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2151
Practice Address - Country:US
Practice Address - Phone:305-595-4041
Practice Address - Fax:305-595-6638
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME818932084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology