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1033195979
RYAN J PEREIRA
ST AUGUSTINE, FL
NPI
1033195979
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: FL PO3002)
Enumeration Date
2005-12-22
Last Update Date
2019-12-13
Business Address
-- RYAN J PEREIRA DPM
1301 PLANTATION ISLAND DR S STE 203
ST AUGUSTINE, FL 32080-3108
Phone number: 904-461-0821
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Mailing Address
-- RYAN J PEREIRA DPM
1301 PLANTATION ISLAND DR S STE 203A
ST AUGUSTINE, FL 32080-3108
Phone number: 904-461-0821
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