Mario R Perez Md Pa | |
2075 Main St Suite#1a Sarasota FL 34237-6057 | |
(941) 914-3310 | |
(941) 316-0185 |
Full Name | Mario R Perez Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 2075 Main St, Sarasota, Florida |
Authorized Official Name and Position | Mario R Perez (OWNER/PHYCIAN) |
Authorized Official Contact | 9419143310 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mario R Perez Md Pa 2075 Main St Suite#1a Sarasota FL 34237-6057 Ph: (941) 914-3310 | Mario R Perez Md Pa 2075 Main St Suite#1a Sarasota FL 34237-6057 Ph: (941) 914-3310 |
NPI Number | 1144496068 |
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Provider Enumeration Date | 04/30/2008 |
Last Update Date | 05/06/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144496068 | NPI | - | NPPES |
277533600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME72969 (Florida) | Primary |
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