Doctor Name: | RICHARD ALLEN PEREZ |
NPI Number: | 1477559516 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME56640 |
Business Practice Address: | 5664 Bee Ridge Rd Ste. 202 Sarasota, FL - 342331504 |
Business Phone Number: | 9413776406 |
Business Fax Number: | 9413776407 |
Mailing Address: | 5664 Bee Ridge Rd, Ste. 202 SARASOTA |
State: | FL |
Postal Code: | 342331504 |
Phone Number: | 9413776406 |
Fax Number: | 9413776407 |
NPI Enumeration Date: | 06/23/2005 |
NPI Last Update Date: | 05/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/21/2006 |
NPI Reactivation Date: | 04/11/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ME56640 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |