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NPI Code Detail

MEDICARE: PATRICIA PEREZ HERNANDEZ

MEDICARE: PATRICIA PEREZ HERNANDEZ
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
11041C0700XClinical Social WorkerISW22863FL

General Provider Information

NPI Number : 1598617029
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA PEREZ HERNANDEZ
Provider Business Mailing Address
First Line : 1667 TILLY ST SE
Second Line :
City : PALM BAY
State : FL
Zip : 32909-5704
Country : US
Telephone Number : 813-518-1782
Fax Number :
Provider Business Practice Location Address
First Line : 1667 TILLY ST SE
Second Line :
City : PALM BAY
State : FL
Zip : 32909-5704
Country : US
Telephone Number : 813-518-1782
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “ PATRICIA PEREZ HERNANDEZ ” Practice Location

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