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Contact Information

TODD A PERLA, MD
194 SW WALL TERRACE
ORIGINS FAMILY MEDICINE AND WEIGHT LOSS
LAKE CITY, FL32025
 Phone: 386-719-9227
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for TODD A PERLA · (Male)

NPI Number 1235146408
Status Active
Credentials MD
Entity Individual
Enumeration date 08/01/2006
Last updated 06/17/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME65271
  • FL Medicaid 272819200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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