MEDICARE: MR. EDUARDO E PEREZ LMHC

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	101YM0800X	Mental Health Counselor	MH7578	FL

General Provider Information

NPI Number	:	1407013360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. EDUARDO E PEREZ LMHC

Provider Business Mailing Address
First Line	:	PO BOX 20081
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33416-0081
Country	:	US
Telephone Number	:	561-723-1313
Fax Number	:

Provider Business Practice Location Address
First Line	:	822B N JOHN YOUNG PKWY
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34741-4912
Country	:	US
Telephone Number	:	855-501-1004
Fax Number	:

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

Provider Enumeration Date	:	05/19/2008
Last Update Date	:	07/22/2025

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