Perera, Jorge

Perera, Jorge is an individual health care provider with primary practice located at 1101 W. Broward Blvd. , Fort Lauderdale FL 33312. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Perera, Jorge can be contacted via phone (954) 463-7313.

Contact Information

Primary practice address
1101 W. Broward Blvd. Fort Lauderdale FL 33312
Phone: (954) 463-7313
Fax: (954) 527-6003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X SW1234 Florida

Profile Details

NPI number 1740325547
LBN Legal business name Perera, Jorge
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2007
Last updated Apr 15th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740325547 NPPES
Florida Other SW1234 LICENSE

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