Dana Edward Perrin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME90368 Issued in FL

Practice address

508 N Maryland Ave
Plant City, FL 33563-3820

Phone

(813) 349-7600

Fax

(813) 349-7661

NPI assigned

Jul 19, 2006

Last updated

Jan 5, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Suncoast Community Health Centers Inc

  dba Tom Lee Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Dover, FL
  • NPI 1144230640
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1700805819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13110 ELK MOUNTAIN DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797182",
            "telephone_number": "813-349-7568",
            "fax_number": "813-349-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 N MARYLAND AVE",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335633820",
            "telephone_number": "813-349-7600",
            "fax_number": "813-349-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRIN",
        "first_name": "DANA",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME90368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johanna Pedraza, ARNP
• Peggy Joyce Hargrove (Joyce Love & Care Home Inc.)
• Alba M Pena
• Glendhy Layra Perez Achoy
• Ludmila Perez Perez
• Carol Sue Perry, MSW
• Nicole Marie Petry, LMHC
• Laurence Milton Petty, M.D.
• Mya Samantha Phillips, RMA, HHA
• Phillips, Salomon & Parrish, PA

• Family Medicine Physician in Plant City, FL
• Providers in Plant City, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.