MEDICARE: MRS. NORIS ESTHER PEREZ DPT

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	225100000X	Physical Therapist	PT21688	FL

General Provider Information

NPI Number	:	1972672681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NORIS ESTHER PEREZ DPT

Provider Business Mailing Address
First Line	:	23938 SW 109TH PLACE
Second Line	:
City	:	HOMESTEAD
State	:	FL
Zip	:	33032
Country	:	US
Telephone Number	:	786-374-1977
Fax Number	:

Provider Business Practice Location Address
First Line	:	19189A S DIXIE HWY
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33157-7714
Country	:	US
Telephone Number	:	786-293-6800
Fax Number	:

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

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	07/08/2007

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