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General NPI Number Information
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NPI Number | 1790059640
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Entity Type | Individual
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Provider Name | ALFREDO PERLAS SY PA
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Gender | Male
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Dates
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Enumeration Date | 02/23/2012
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Last Update Date | 08/30/2025
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Provider Practice Location Address
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Address Line | 1131 S ORANGE AVE
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City | ORLANDO
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State | FL
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Zip | 32806-1226
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Country | US
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Telephone | 941-444-0011
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Fax | 603-952-3900
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Provider Business Mailing Address
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Address Line | 4925 FIORAZANTE AVE
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City | ORLANDO
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State | FL
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Zip | 32839-6431
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Country | US
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Telephone | 407-866-9750
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9106299
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License Number State | FL
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