Susan Perko

NPI #1215120621 in Hawthorne, Florida

Provider Information

NPI Number: 1215120621
Entity Type: Individual
Name: Susan Perko
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Aug 20, 2007
Last Updated: Aug 20, 2007

Practice Location

Address: 100 SUNSET STRIP DR
City: Hawthorne
State: Florida
ZIP Code: 32640-4243
Phone: (352) 475-5385

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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