MEDICARE: VICTOR ADRIAN PEREZ

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	183500000X	Pharmacist	67299	FL

General Provider Information

NPI Number	:	1841029766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTOR ADRIAN PEREZ

Provider Business Mailing Address
First Line	:	9400 HARDING AVE
Second Line	:
City	:	SURFSIDE
State	:	FL
Zip	:	33154-2804
Country	:	US
Telephone Number	:	306-865-1263
Fax Number	:

Provider Business Practice Location Address
First Line	:	9400 HARDING AVE
Second Line	:
City	:	SURFSIDE
State	:	FL
Zip	:	33154-2804
Country	:	US
Telephone Number	:	306-865-1263
Fax Number	:

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

Provider Enumeration Date	:	07/30/2024
Last Update Date	:	07/30/2024

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Directions to “ VICTOR ADRIAN PEREZ ” Practice Location

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