Provider Demographics
NPI:1124445978
Name:PERRY D. HIGHT, MD PA
Entity type:Organization
Organization Name:PERRY D. HIGHT, MD PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PERRY
Authorized Official - Middle Name:D
Authorized Official - Last Name:HIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:850-502-7987
Mailing Address - Street 1:22623 PANAMA CITY BEACH PKWY
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32413-5127
Mailing Address - Country:US
Mailing Address - Phone:850-502-7987
Mailing Address - Fax:850-249-2930
Practice Address - Street 1:22623 PANAMA CITY BEACH PKWY
Practice Address - Street 2:
Practice Address - City:PANAMA CITY BEACH
Practice Address - State:FL
Practice Address - Zip Code:32413-5127
Practice Address - Country:US
Practice Address - Phone:850-502-7987
Practice Address - Fax:850-249-2930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-18
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME97187261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care