Healthcare Provider Details

I. General information

NPI: 1487003497
Provider Name (Legal Business Name): DAILY GUZMAN PEREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2016
Last Update Date: 01/09/2024
Certification Date: 01/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2650 S MILITARY TRL STE 26
WEST PALM BEACH FL
33415-7507
US

IV. Provider business mailing address

8767 NW 168TH LN
MIAMI LAKES FL
33018-6129
US

V. Phone/Fax

Practice location:
  • Phone: 561-729-0975
  • Fax:
Mailing address:
  • Phone: 786-704-2808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-20-42877
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: