MEDICARE: JOSE A. PEREZ-ARCE, MD

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	261QP2300X	Primary Care Clinic/Center	ME78768	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730427816
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOSE A. PEREZ-ARCE, MD

Provider Business Mailing Address
First Line	:	12685 STARKEY RD STE 1
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33773-1421
Country	:	US
Telephone Number	:	727-535-9901
Fax Number	:	727-535-8760

Provider Business Practice Location Address
First Line	:	12685 STARKEY RD STE 1
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33773-1421
Country	:	US
Telephone Number	:	727-535-9901
Fax Number	:	727-535-8760

Authorized Official
Title or Position	:	MD
Name	:	JOSE ARMANDO PEREZ-ARCE
Credential	:	MD
Telephone Number	:	727-535-9901

Provider Enumeration Date	:	01/23/2013
Last Update Date	:	01/23/2013

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