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NPI Code Detail

MEDICARE: PERENNIAL HEALTHCARE ASSOCIATES PA

MEDICARE: PERENNIAL HEALTHCARE ASSOCIATES PA
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
1207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1699007716
Entity Type Code : Organization
Provider Name (Legal Business Name) : PERENNIAL HEALTHCARE ASSOCIATES PA
Provider Business Mailing Address
First Line : PO BOX 816759
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33081-0759
Country : US
Telephone Number : 305-674-1233
Fax Number : 954-964-6084
Provider Business Practice Location Address
First Line : 14520 SW 65TH AVE
Second Line :
City : CORAL GABLES
State : FL
Zip : 33158-1820
Country : US
Telephone Number : 786-252-0389
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : RAMON CABREJA
Credential : M.D.
Telephone Number : 786-252-0389
Provider Enumeration Date : 02/01/2010
Last Update Date : 02/10/2010

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Directions to “PERENNIAL HEALTHCARE ASSOCIATES PA ” Practice Location

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