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NPI Code Detail

MEDICARE: MELISSA PEREZ CRNA

MEDICARE: MELISSA PEREZ CRNA
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
1163W00000XRegistered NurseRN 9328549FL
2367500000XCertified Registered Nurse AnesthetistARNP 9328549FL

Other Identifiers

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

General Provider Information

NPI Number : 1922472901
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA PEREZ CRNA
Provider Business Mailing Address
First Line : 1901 ULMERTON RD
Second Line : SUITE 450
City : CLEARWATER
State : FL
Zip : 33762-2300
Country : US
Telephone Number : 727-210-8191
Fax Number :
Provider Business Practice Location Address
First Line : 119 OAKFIELD DR
Second Line :
City : BRANDON
State : FL
Zip : 33511-5779
Country : US
Telephone Number : 813-571-5213
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2015
Last Update Date : 02/23/2016

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Directions to “ MELISSA PEREZ CRNA” Practice Location

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