Provider Demographics
NPI:1083932966
Name:BARD, PERRY (DC)
Entity type:Individual
Prefix:DR
First Name:PERRY
Middle Name:
Last Name:BARD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1730 S FEDERAL HWY # 314
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-3309
Mailing Address - Country:US
Mailing Address - Phone:561-640-9999
Mailing Address - Fax:561-266-5786
Practice Address - Street 1:660 LINTON BLVD STE 100A
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33444-8201
Practice Address - Country:US
Practice Address - Phone:561-640-9999
Practice Address - Fax:561-266-5786
Is Sole Proprietor?:No
Enumeration Date:2010-05-17
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH5744111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor