Healthcare Provider Details

I. General information

NPI: 1881446276
Provider Name (Legal Business Name): LORENZO PEREZ TERUEL APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: LORENZO PEREZ

II. Dates (important events)

Enumeration Date: 04/01/2024
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1528 DEL PRADO BLVD S
CAPE CORAL FL
33990-3798
US

IV. Provider business mailing address

2675 WINKLER AVE STE 200
FORT MYERS FL
33901-9328
US

V. Phone/Fax

Practice location:
  • Phone: 239-333-3333
  • Fax: 239-241-7948
Mailing address:
  • Phone: 877-856-3774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11032146
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: