Provider Demographics
NPI:1992818595
Name:HIGHT, PERRY D (MD)
Entity type:Individual
Prefix:
First Name:PERRY
Middle Name:D
Last Name:HIGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12598 EMERALD COAST PKWY W
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MIRAMAR BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32550-2101
Mailing Address - Country:US
Mailing Address - Phone:850-502-7987
Mailing Address - Fax:850-999-4950
Practice Address - Street 1:108 CHRISTIAN DR
Practice Address - Street 2:
Practice Address - City:SANTA ROSA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32459-8543
Practice Address - Country:US
Practice Address - Phone:850-502-7987
Practice Address - Fax:850-999-4950
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME97187207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine