BROOKE VANESSA PERDOMO (NPI# 1477821130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477821130 |
| Entity Type | Individual |
| Full Name | BROOKE VANESSA PERDOMO |
| Credential | PA-C |
| Practice Address |
7504 Mcelvey Rd Panama City Beach FL 32408-4919 |
| Mailing Address |
319 Brynn Ct Panama City Beach FL 32408-7479 |
| Practice Telephone | 8504811101 |
| Practice Fax Number | 8504413748 |
| Mailing Telephone | 8145941319 |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2017-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9106366 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7504 MCELVEY RD |
| City | PANAMA CITY BEACH |
| State | FL |
| Zip Code | 32408-4919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306498050 | C. Michelle Gawronski Counseling LLC | Community/Behavioral Health | 7801 Quail Hollow Dr, Panama City Beach, FL 32408 | 2019-07-12 |
| 1912400805 | Jennifer Lynn Marshall | Counselor | 400 Thomas Dr., 7108, Panama City Beach, FL 32408 | 2018-03-16 |
| 1114425113 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 2500 Veterans Way, Bldg 645, Panama City, FL 32408 | 2018-01-25 |
| 1508228925 | Matthew Welch | Clinic/Center | 2601 Thomas Dr, Panama City Beach, FL 32408 | 2016-03-24 |
| 1841662590 | Lauren Michelle Moore | Physical Therapy Assistant | 5718 Beach Drive, Panama City Beach, FL 32408 | 2015-10-21 |
| 1235578972 | Sarah Tilley | Counselor | 400 Thomas Drive, Unit 7108, Panama City Beach, FL 32408 | 2013-06-16 |
| 1942548235 | Marjory Stanek | Developmental Therapist | 2608 Celia Ave, Panama City, FL 32408 | 2013-01-22 |
| 1013110097 | Robert Charles Heikowsky II | Dentist | 8730 Thomas Drive, Ste 1102, Panana City Beach, FL 32408 | 2007-06-07 |
| 1083706899 | Myra Reed Md Pa | Internal Medicine | 1814 Thomas Drive, Panama City Beach, FL 32408 | 2006-09-29 |
| 1710080882 | Mark Daniel White | Chiropractor | 2427 Thomas Dr, Panama City, FL 32408 | 2006-09-06 |
| Find all providers in zip 32408 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497885180 | Guy Alvin Crawford | Physician Assistant | 11111 Highway 98 East, Panama City Beach, FL 32407 | 2007-03-06 |
| 1285619940 | Tammy Howerton | Physician Assistant | 16181 Panama City Beach Pkwy, Panama City Beach, FL 32413-5423 | 2005-12-14 |
| 1548721343 | William F Shipman IIi | Physician Assistant | 11111 Panama City Beach Pkwy, Panama City Beach, FL 32407-2448 | 2019-03-26 |
| 1770922007 | North Lagoon Medical, LLC | Physician Assistant | 8317 Front Beach Rd Ste 37b, Panama City Beach, FL 32407-4896 | 2013-06-20 |
| 1649459736 | Amanda Shianne Thompson | Physician Assistant | 9961 E County Highway 30a, Ste 5, Panama City Beach, FL 32461-7282 | 2007-10-25 |
| 1154462554 | Donald Paul Dorenkamp | Physician Assistant | 16900 Front Beach Rd, Panama City Beach, FL 32413-2345 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295525 | Asahel Romero | Physician Assistant | 13228 Canna Lily Dr, Orlando, FL 32824-5067 | 2020-11-07 |
| 1629679360 | Samantha Lee Zavada | Physician Assistant | 9459 Silver Pine Loop, Fort Myers, FL 33967-5152 | 2020-11-07 |
| 1235730177 | Emily Figueroa Vega | Physician Assistant | 1920 Nw 97th Ave, Coral Springs, FL 33071-5950 | 2020-11-06 |
| 1922609114 | Jeannine Castaneda Calderon | Physician Assistant | 816 Arbor Pointe Ave, Minneola, FL 34715-6052 | 2020-11-04 |
| 1962003178 | Mohammed Bilal Sheikh | Physician Assistant | 2920 Ne 207th St Ste 901, Miami, FL 33180-1444 | 2020-11-04 |
| 1891396131 | Whiplashmd, LLC | Physician Assistant | 940 Centre Cir Ste 1018, Altamonte Springs, FL 32714-7242 | 2020-11-03 |
| 1831799527 | Emily Vander Zee | Physician Assistant | 6680 Bennett Creek Dr Apt 213, Jacksonville, FL 32216-0018 | 2020-10-30 |
| 1245830314 | Jonathan V Korah | Physician Assistant | 6650 Corporate Center Pkwy Apt 1108, Jacksonville, FL 32216-8725 | 2020-10-28 |
| 1255931473 | Rachel Gavrielle Stahly | Physician Assistant | 11438 Emuness Rd, Jacksonville, FL 32218-4050 | 2020-10-27 |
| 1356941504 | Kelsey Alexandra Leon | Physician Assistant | 5033 W Laurel St, Tampa, FL 33607-3855 | 2020-10-27 |
| Find all providers with the same taxonomy | ||||
| City | PANAMA CITY BEACH |
| Zip Code | 32408 |
Please comment or provide details below to improve the information on BROOKE VANESSA PERDOMO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.