Perez, Fernando Javier

Perez, Fernando Javier is an sole proprietor health care provider with primary practice located at 11760 Sw 40Th St Ste 722 , Miami FL 33175. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Perez, Fernando Javier can be contacted via phone (305) 559-1334.

Contact Information

Primary practice address
11760 Sw 40Th St Ste 722 Miami FL 33175
Phone: (305) 559-1334
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME114498 Florida
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X ME114498 Florida

Profile Details

NPI number 1063672061
LBN Legal business name Perez, Fernando Javier
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2008
Last updated Jan 4th, 2019 - about 5 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 1063672061 NPPES
Florida MEDICAID 016959100

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