Provider Demographics
NPI:1538450614
Name:PERRY, EDITH EGYED (DC)
Entity type:Individual
Prefix:DR
First Name:EDITH
Middle Name:EGYED
Last Name:PERRY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:EDITH
Other - Middle Name:
Other - Last Name:EGYED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:160 W CAMINO REAL
Mailing Address - Street 2:240
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-5942
Mailing Address - Country:US
Mailing Address - Phone:828-773-9018
Mailing Address - Fax:
Practice Address - Street 1:90 TILFORD E
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-2106
Practice Address - Country:US
Practice Address - Phone:828-773-9018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-25
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0006711111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor