BROOKE MICHELLE PERUSSINA

ST AUGUSTINE, FL
NPI1700921020
Former NameBROOKE MICHELLE MCRAE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: FL  PA9102180)
Enumeration Date2007-02-21
Last Update Date2007-07-08
Business Address
Mrs. BROOKE MICHELLE PERUSSINA PA C
103 ANASTASIA BLVD
ST AUGUSTINE, FL 32080
Phone number: 904-825-4747
Mailing Address
Mrs. BROOKE MICHELLE PERUSSINA PA C
973 OAK ARBOR CIRCLE
ST AUGUSTINE, FL 32084
Phone number: 904-825-0379
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