MEDICARE: NEOBALIS FRANCO PEREZ

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	363LF0000X	Family Nurse Practitioner	APRN11013935	FL

General Provider Information

NPI Number	:	1427629146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEOBALIS FRANCO PEREZ

Provider Business Mailing Address
First Line	:	10787 SW 43RD TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-4834
Country	:	US
Telephone Number	:	786-720-6665
Fax Number	:

Provider Business Practice Location Address
First Line	:	10787 SW 43RD TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-4834
Country	:	US
Telephone Number	:	786-720-6665
Fax Number	:

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

Provider Enumeration Date	:	07/03/2021
Last Update Date	:	08/31/2021

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Directions to “ NEOBALIS FRANCO PEREZ ” Practice Location

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