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Mr. Lawrence Reginald Perdue, DC
Chiropractor in Palm Bay, Florida
NPI 1427144930

Lawrence Reginald Perdue is a Chiropractor based in Palm Bay, FL. Lawrence Reginald Perdue practices in Palm Bay, FL and has the professional credentials of DC. The NPI Number for Lawrence Reginald Perdue is 1427144930 and holds a License No. CH006225 (Florida).

The current practice location address for Lawrence Reginald Perdue is 1051 Port Malabar Blvd Ne, Palm Bay, FL and can be reached out via phone at 321-984-5355 and via fax at 321-984-7206.

Location: 1051 Port Malabar Blvd Ne, Palm Bay, FL, 32905-5153
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427144930
Provider Name
Lawrence Reginald Perdue
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1051 Port Malabar Blvd Ne, Palm Bay, FL, 32905-5153
Phone Number
321-984-5355
Fax Number
321-984-7206
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
310495600 01 FL WORKERS COMP
22704 01 FL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1051 Port Malabar Blvd Ne
City
Palm Bay
State
Florida
Zip
32905-5153
Phone Number
321-984-5355
Fax Number
321-984-7206
person
Provider Business Mailing Address Details
Address
1051 Port Malabar Blvd Ne
City
Palm Bay
State
Florida
Zip
32905-5153
Phone Number
321-984-5355
Fax Number
321-984-7206
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CH006225 (Florida)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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