Provider Demographics
NPI:1760614457
Name:PERKINS, MARIE (AP)
Entity Type:Individual
Prefix:DR
First Name:MARIE
Middle Name:
Last Name:PERKINS
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:622 BERRYWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-5873
Mailing Address - Country:US
Mailing Address - Phone:727-216-3972
Mailing Address - Fax:727-216-3982
Practice Address - Street 1:34876 US 19 N
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-1918
Practice Address - Country:US
Practice Address - Phone:727-216-3972
Practice Address - Fax:727-216-3982
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-14
Last Update Date:2013-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2048171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist