Healthcare Provider Details

I. General information

NPI: 1952872509
Provider Name (Legal Business Name): HECTOR SILVA PEREZ APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/07/2018
Last Update Date: 03/07/2023
Certification Date: 07/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1834 N ALAFAYA TRL UNIT 3
ORLANDO FL
32826-4716
US

IV. Provider business mailing address

121 S ORANGE AVE STE 940
ORLANDO FL
32801-3234
US

V. Phone/Fax

Practice location:
  • Phone: 407-627-0062
  • Fax: 407-674-7346
Mailing address:
  • Phone: 407-658-9687
  • Fax: 407-286-4515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11000420
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: