MEDICARE: JOSEPH A. PEREZ D.C.

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	111N00000X	Chiropractor	CH10995	FL

General Provider Information

NPI Number	:	1366878365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH A. PEREZ D.C.

Provider Business Mailing Address
First Line	:	10304 NW 50TH CT
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33076-1738
Country	:	US
Telephone Number	:	561-906-8666
Fax Number	:

Provider Business Practice Location Address
First Line	:	10304 NW 50TH CT
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33076-1738
Country	:	US
Telephone Number	:	561-906-8666
Fax Number	:

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

Provider Enumeration Date	:	09/23/2013
Last Update Date	:	07/10/2014

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