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General NPI Number Information
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NPI Number | 1417510298
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Entity Type | Individual
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Provider Name | JIODANY PEREZ MD
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Gender | Male
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Dates
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Enumeration Date | 04/17/2019
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Last Update Date | 12/21/2023
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Provider Practice Location Address
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Address Line | 5966 S DIXIE HWY STE 401
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5177
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Country | US
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Telephone | 786-453-2667
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Fax |
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Provider Business Mailing Address
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Address Line | 4300 ALTON RD
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2948
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Country | US
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Telephone | 305-409-3901
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME151714
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207PS0010X
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Taxonomy Name | Sports Medicine (Emergency Medicine) Physician
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License Number | ME151714
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | ME151714
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License Number State | FL
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