Robert Bruce Perri (NPI# 1891179693, PAC ID# 0244548295) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1891179693 |
| PAC ID by PECOS | 0244548295 |
| Professional Enrollment ID | I20150924002851 |
| Full Name | Robert Bruce Perri |
| Organization Legal Name | ARDENT FAMILY CARE PA |
| Address |
84 Pinnacles Dr Suite 200 Palm Coast FL 32164-2324 |
| Phone Number | 3864399777107 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7517933419 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100118 | FLORIDA HOSPITAL FLAGLER |
| 100068 | FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 84 Pinnacles Dr, Suite 200, Palm Coast, FL 32164-2324 | 3864399777107 | ARDENT FAMILY CARE PA |
| Organization Legal Name | ARDENT FAMILY CARE PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Don Joseph Alfonso | Family Medicine | Ardent Family Care Pa | 84 Pinnacles Dr, Suite 200, Palm Coast, FL 32164-2324 |
| Mirian G Langer | Nurse Practitioner | Ardent Family Care Pa | 84 Pinnacles Dr, Suite 200, Palm Coast, FL 32164-2324 |
| Renato A Alfonso | Internal Medicine | Ardent Family Care Pa | 84 Pinnacles Dr, Suite 200, Palm Coast, FL 32164-2324 |
| Mary K Reynolds | Nurse Practitioner | Ardent Family Care Pa | 84 Pinnacles Dr, Suite 200, Palm Coast, FL 32164-2324 |
| Street Address |
84 PINNACLES DR SUITE 200 |
| City | PALM COAST |
| State | FL |
| Zip | 32164-2324 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Don Joseph Alfonso | Family Medicine | Ardent Family Care Pa | 84 Pinnacles Dr, Suite 200, Palm Coast, FL 32164-2324 |
| Mirian G Langer | Nurse Practitioner | Ardent Family Care Pa | 84 Pinnacles Dr, Suite 200, Palm Coast, FL 32164-2324 |
| Renato A Alfonso | Internal Medicine | Ardent Family Care Pa | 84 Pinnacles Dr, Suite 200, Palm Coast, FL 32164-2324 |
| Mary K Reynolds | Nurse Practitioner | Ardent Family Care Pa | 84 Pinnacles Dr, Suite 200, Palm Coast, FL 32164-2324 |
| Kenneth M Roberts | Physician Assistant | Florida Urology Center Pa | 84 Pinnacles Dr, Suite 500, Palm Coast, FL 32164-2324 |
| Jason R Thompson | Obstetrics/gynecology | Fwc Urogynecology LLC | 84 Pinnacles Dr, Suite 500, Palm Coast, FL 32164-2324 |
| Ross C Wheeler | Dermatology | 84 Pinnacles Dr, Suite 400, Palm Coast, FL 32164-2324 | |
| Vicki S Ma | Occupational Therapy | Physical Therapy Professionals and Associates, Inc. | 84 Pinnacles Dr, Suite 300, Palm Coast, FL 32164-2324 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank Michael Alea | Vascular Surgery | Roy H Hinman Md Pa | 2 Mccormick Dr, Palm Coast, FL 32164-2352 |
| Peter Richard Accorti | Nurse Practitioner | Estate Ventures LLC | 57 Town Ct, Suite 123, Palm Coast, FL 32164-2425 |
| Kai Mcgreevy | Neurology | Estate Ventures LLC | 57 Town Ct, Suite 123, Palm Coast, FL 32164-2425 |
| Joseph Mckinley | Gastroenterology | Memorial Hospital Flagler Inc | 21 Hospital Dr, Suite 110, Palm Coast, FL 32164-2453 |
| Emily Jeanne Havener Billstein | Physician Assistant | Memorial Hospital Flagler Inc | 21 Hospital Dr, Suite 110, Palm Coast, FL 32164-2453 |
| Ebony M Benjamin | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcorp Inc | 21 Hospital Dr, Suite 220, Palm Coast, FL 32164-2453 |
| David Gay | Orthopedic Surgery | Memorial Hospital Flagler Inc | 21 Hospital Dr, Suite 110, Palm Coast, FL 32164-2453 |
| Wallace M Combs Ii | Gastroenterology | Memorial Hospital Flagler Inc | 21 Hospital Dr, Suite 110, Palm Coast, FL 32164-2453 |
| Izabela M Wasiluk | Anesthesiology | Sheridan Healthcorp Inc | 21 Hospital Dr, Suite 220, Palm Coast, FL 32164-2453 |
| Dennis Alter | Orthopedic Surgery | Memorial Hospital Flagler Inc | 21 Hospital Dr, Suite 110, Palm Coast, FL 32164-2453 |
| Find all physicians in zip 32164 | |||
| City | PALM COAST |
| Zip Code | 32164 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PALM COAST + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.