Healthcare Provider Details

I. General information

NPI: 1992655161
Provider Name (Legal Business Name): PEREZ ADVANCED HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1715 N DIXIE HWY STE 106
LAKE WORTH FL
33460-6560
US

IV. Provider business mailing address

1715 N DIXIE HWY STE 106
LAKE WORTH FL
33460-6560
US

V. Phone/Fax

Practice location:
  • Phone: 561-574-7165
  • Fax:
Mailing address:
  • Phone: 561-574-7165
  • Fax: 561-905-1334

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ZULEIVY PEREZ
Title or Position: OWNER
Credential: APRN
Phone: 561-574-7165