Healthcare Provider Details

I. General information

NPI: 1699539692
Provider Name (Legal Business Name): JENIFFER ABREU PEREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/09/2024
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9406 SPRING HILL DR
SPRING HILL FL
34608-6466
US

IV. Provider business mailing address

9406 SPRING HILL DR
SPRING HILL FL
34608-6466
US

V. Phone/Fax

Practice location:
  • Phone: 863-232-7633
  • Fax:
Mailing address:
  • Phone: 863-232-7633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: