Provider Demographics
NPI:1003972480
Name:PERKINS, MACHELLE ANN (DOM)
Entity type:Individual
Prefix:DR
First Name:MACHELLE
Middle Name:ANN
Last Name:PERKINS
Suffix:
Gender:F
Credentials:DOM
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:7600 BRYAN DAIRY RD STE C
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33777-1433
Mailing Address - Country:US
Mailing Address - Phone:727-541-2211
Mailing Address - Fax:727-541-2210
Practice Address - Street 1:7600 BRYAN DAIRY RD STE C
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33777-1433
Practice Address - Country:US
Practice Address - Phone:727-541-2211
Practice Address - Fax:727-541-2210
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1271171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist