| Brock Perly, PA-C | |
|
661 E Altamonte Dr Ste 325, Altamonte Springs, FL 32701-5103 | |
| (407) 303-4120 | |
| (407) 303-4124 |
| Full Name | Brock Perly |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 661 E Altamonte Dr Ste 325, Altamonte Springs, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083383699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Secondary |
| 363A00000X | Physician Assistant | PA9114893 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Orlando | Orlando, FL | Hospital |
| Adventhealth Waterman | Tavares, FL | Hospital |
| Adventhealth Fish Memorial | Orange city, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Hospital Medical Group Inc | 0749186153 | 1735 |
| Entity Name | Florida Hospital Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
| Entity Name | The Ear Nose and Throat Surgical Associates PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114905148 PECOS PAC ID: 2466437926 Enrollment ID: O20040621000545 |
| Mailing Address | Practice Location Address |
|---|---|
| Brock Perly, PA-C 661 E Altamonte Dr Ste 325, Altamonte Springs, FL 32701-5103 Ph: (407) 303-4120 | Brock Perly, PA-C 661 E Altamonte Dr Ste 325, Altamonte Springs, FL 32701-5103 Ph: (407) 303-4120 |
Mario Heredia, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 711 E Altamonte Dr Ste 210, Altamonte Springs, FL 32701 Phone: 407-303-5452 Fax: 407-303-5448 |
Cynthia Simon Wakim, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 661 E Altamonte Dr Ste 231, Altamonte Springs, FL 32701 Phone: 407-303-5214 |
Haley Kranz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 251 Maitland Ave Ste 116, Altamonte Springs, FL 32701 Phone: 407-915-5643 Fax: 407-960-2602 |
Ashley Miosoty Montero, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 661 E Altamonte Dr Ste 222, Altamonte Springs, FL 32701 Phone: 508-815-9634 |
Iain James Hillenberg, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 251 Maitland Ave Ste 116, Altamonte Springs, FL 32701 Phone: 407-915-5643 Fax: 407-960-2602 |
Mr. Raphael O Reyes, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 539 Maitland Avenue, Suite 1002, Altamonte Springs, FL 32701 Phone: 407-539-2111 Fax: 407-539-1211 |
Mrs. Monica June Bach, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 661 E Altamonte Dr Ste 222, Altamonte Springs, FL 32701 Phone: 407-303-3081 |