Peralta Pena, Junior Manuel

Peralta Pena, Junior Manuel is an sole proprietor health care provider with primary practice located at 486 Fisherman St , Opa Locka FL 33054-3818. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Peralta Pena, Junior Manuel can be contacted via phone (786) 778-0968.

Contact Information

Primary practice address
486 Fisherman St Opa Locka FL 33054-3818
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11014221 Florida

Profile Details

NPI number 1487328910
LBN Legal business name Peralta Pena, Junior Manuel
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2021
Last updated Mar 2nd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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