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General NPI Number Information
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NPI Number | 1447563127
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Entity Type | Organization
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Legal Business Name | RICARDO A PEREZ MD PLLC
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Dates
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Enumeration Date | 07/22/2010
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Last Update Date | 07/22/2010
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Provider Practice Location Address
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Address Line | 1479 GENE ST
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City | WINTER PARK
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State | FL
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Zip | 32789-4840
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Country | US
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Telephone | 407-432-9585
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Fax | 888-872-6329
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Provider Business Mailing Address
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Address Line | 1479 GENE ST
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City | WINTER PARK
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State | FL
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Zip | 32789-4840
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Country | US
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Telephone | 407-432-9585
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Fax | 888-872-6329
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICARDO A PEREZ
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Credential | MD
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Telephone | 407-432-9585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME85720
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License Number State | FL
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