MEDICARE: DR. JOBSE I LEBRON PEREZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	ACN765	FL
2	208D00000X	General Practice Physician	18015	PR

General Provider Information

NPI Number	:	1427367077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOBSE I LEBRON PEREZ M.D.

Provider Business Mailing Address
First Line	:	PO BOX 850001, DEPT 8340
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32885-0001
Country	:	US
Telephone Number	:	855-536-7277
Fax Number	:	855-830-1722

Provider Business Practice Location Address
First Line	:	320 W FLETCHER AVE STE 101
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-3400
Country	:	US
Telephone Number	:	813-374-9266
Fax Number	:	813-374-9267

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2010
Last Update Date	:	10/27/2025

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