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NPI Code Detail

MEDICARE: ADRIEL PEREZ APRN

MEDICARE: ADRIEL PEREZ APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner11002969FL

General Provider Information

NPI Number : 1083276158
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIEL PEREZ APRN
Provider Business Mailing Address
First Line : 1410 W BROADWAY ST STE 203
Second Line :
City : OVIEDO
State : FL
Zip : 32765-6472
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1410 W BROADWAY ST STE 203
Second Line :
City : OVIEDO
State : FL
Zip : 32765-6472
Country : US
Telephone Number : 407-865-2716
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2019
Last Update Date : 11/09/2022

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