Susan Perko is a Specialist based in Hawthorne, FL. Susan Perko practices in Hawthorne, FL. The NPI Number for Susan Perko is 1215120621 and holds a License No. MA37145 (Florida).
The current practice location address for Susan Perko is 100 Sunset Strip Dr, Hawthorne, FL and can be reached out via phone at 352-475-5385.
Location: 100 Sunset Strip Dr, Hawthorne, FL, 32640-4243
Provider Profile Details
NPI Number
1215120621
Provider Name
Susan Perko
Credential
Provider Entity Type
Individual
Gender
Female
Address
100 Sunset Strip Dr, Hawthorne, FL, 32640-4243
Phone Number
352-475-5385
Fax Number
Provider Enumeration Date
08/20/2007
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C2391 | 01 | FL | BLUE CROSS/BLUE SHIELD |
Provider Business Practice Location Address Details
Address
100 Sunset Strip Dr
City
State
Zip
32640-4243
Phone Number
352-475-5385
Fax Number
Provider Business Mailing Address Details
Address
100 Sunset Strip Dr
City
State
Zip
32640-4243
Phone Number
352-475-5385
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
MA37145 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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