Healthcare Provider Details

I. General information

NPI: 1215176086
Provider Name (Legal Business Name): DANIEL JESUS PEREZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/18/2009
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39200 HOOKER HWY STE 101
BELLE GLADE FL
33430-5368
US

IV. Provider business mailing address

1515 N FLAGLER DR STE 101
WEST PALM BEACH FL
33401-3429
US

V. Phone/Fax

Practice location:
  • Phone: 561-642-1000
  • Fax: 561-804-5629
Mailing address:
  • Phone: 561-659-1270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME 103604
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: