MEDICARE: ANDREYMI PEREZ-GARCIA

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
1	106S00000X	Behavior Technician		FL

General Provider Information

NPI Number	:	1225878879
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREYMI PEREZ-GARCIA

Provider Business Mailing Address
First Line	:	10100 BAYMEADOWS RD APT 1303
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-0502
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7775 BAYMEADOWS WAY
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-7570
Country	:	US
Telephone Number	:	904-831-3974
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2024
Last Update Date	:	03/23/2026

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