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NPI Code Detail

MEDICARE: MARIO LAZARO PEREZ ARNP

MEDICARE: MARIO LAZARO PEREZ ARNP
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
1363LA2100XAcute Care Nurse PractitionerAPRN9294036FL

General Provider Information

NPI Number : 1639696800
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIO LAZARO PEREZ ARNP
Provider Business Mailing Address
First Line : 2801 NW 79TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33122-1174
Country : US
Telephone Number : 786-466-1084
Fax Number :
Provider Business Practice Location Address
First Line : 2801 NW 79TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33122-1174
Country : US
Telephone Number : 786-466-1084
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2017
Last Update Date : 11/27/2023

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Directions to “ MARIO LAZARO PEREZ ARNP” Practice Location

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