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NPI Code Detail

MEDICARE: JOEL X PEREZ PHARMD

MEDICARE: JOEL X PEREZ PHARMD
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
1183500000XPharmacistPS59948FL

General Provider Information

NPI Number : 1447800750
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOEL X PEREZ PHARMD
Provider Business Mailing Address
First Line : 6503 W WATERS AVE
Second Line :
City : TAMPA
State : FL
Zip : 33634-2207
Country : US
Telephone Number : 813-887-3166
Fax Number :
Provider Business Practice Location Address
First Line : 6503 W WATERS AVE
Second Line :
City : TAMPA
State : FL
Zip : 33634-2207
Country : US
Telephone Number : 813-887-3166
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2019
Last Update Date : 09/18/2019

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Directions to “ JOEL X PEREZ PHARMD” Practice Location

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