Organization · Type 2 NPI

Genetics and Metabolism LLC

Clinical Genetics (M.D.) Physician · Ponte Vedra Beach, FL

NPI number 1124764113 Active

Practice location

1110 A1A N Ste 101
Ponte Vedra Beach, FL 32082-4071

Call (904) 673-0044 Map

Fax (904) 673-1064

Mailing address

112 Bartram Oaks Walk Unit 600849
St. Johns, FL 32260-7734

Other practice locations

167 Spanish Bay Dr, St. Augustine, FL 32092-3222 · (904) 834-5175
167 Spanish Bay Drive, St. Augustine, FL 32092-3222 · (904) 673-0044

Specialties and licenses

Taxonomy	Code	License
Clinical Genetics (M.D.) Physician Primary	207SG0201X	None listed
Pediatrics Physician	208000000X	None listed

Clinical Genetics (M.D.) Physician: A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

2 other providers at this address

NPI record

NPI: 1124764113
Entity type: Organization (Type 2)
Issued: May 11, 2022
Last updated: Feb 16, 2023
Status: Active

Other names

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Genetics and Metabolism · doing business as
Genetics and Metabolism · doing business as

Authorized official

Anthony Perszyk, MD
Owner Authorized Official
(904) 673-5895

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124764113

Genetics and Metabolism LLC's National Provider Identifier is 1124764113, issued on May 11, 2022. The primary taxonomy on file is Clinical Genetics (M.D.) Physician (207SG0201X), and the practice location is in Ponte Vedra Beach, FL. The record was last updated on Feb 16, 2023.