NPI 1124764113
Genetics and Metabolism LLC
Practice location
- Address
- 1110 A1a N STE 101, Ponte Vedra Beach, FL 32082-4071
- Phone
- (904) 673-0044
- Fax
- (904) 673-1064
- Mailing address
- 112 Bartram Oaks Walk Unit 600849, Saint Johns, FL 32260-7734
Authorised official
- Name
- Anthony Perszyk
- Title
- Owner Authorized Official
- Phone
- (904) 673-5895
Registered specialties (2)
Clinical Genetics (M.D.) Physician
Primary
Pediatrics Physician
Registry record
- NPI
- 1124764113
- Entity type
- Organization
- NPI issued
- 11 May 2022
- Record last updated
- 16 Feb 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.