Healthcare Provider Details

I. General information

NPI: 1255269601
Provider Name (Legal Business Name): CODY PEREZ DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2705 SUNSET POINT RD
CLEARWATER FL
33759-1504
US

IV. Provider business mailing address

6550 150TH AVE N APT F101
CLEARWATER FL
33760-2092
US

V. Phone/Fax

Practice location:
  • Phone: 813-421-5057
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH15957
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: