Jorge L Perez Do Pa | |
3600 W Flagler St Miami FL 33135-1030 | |
(305) 444-4520 | |
Not Available |
Full Name | Jorge L Perez Do Pa |
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Speciality | Family Medicine |
Location | 3600 W Flagler St, Miami, Florida |
Authorized Official Name and Position | Jorge L. Perez (OWNER/PHYSICIAN) |
Authorized Official Contact | 3054018886 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jorge L Perez Do Pa 3600 W Flagler St Miami FL 33135-1030 Ph: (305) 444-4520 | Jorge L Perez Do Pa 3600 W Flagler St Miami FL 33135-1030 Ph: (305) 444-4520 |
NPI Number | 1346424694 |
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Provider Enumeration Date | 12/21/2007 |
Last Update Date | 01/03/2010 |
Medicare PECOS PAC ID | 1557436904 |
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Medicare Enrollment ID | O20080819000644 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346424694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Florida) | Primary |
Provider Name | Jorge L Perez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770520074 PECOS PAC ID: 9537253877 Enrollment ID: I20070918000504 |
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