Doctor Name: | DR. EMILIO LUIS PEREZ |
NPI Number: | 1528220142 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 17201 |
Business Practice Address: | 4423 Park Blvd N Pinellas Park, FL - 337813540 |
Business Phone Number: | 8137890989 |
Business Fax Number: | 7278272809 |
Mailing Address: | 4423 Park Blvd N, PINELLAS PARK |
State: | FL |
Postal Code: | 337813540 |
Phone Number: | 8137890989 |
Fax Number: | 7278272809 |
NPI Enumeration Date: | 06/25/2008 |
NPI Last Update Date: | 07/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 17201 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |