Perez, Myriam C

Perez, Myriam C is an individual health care provider with primary practice located at 16 St Johns Medical Park Dr , St Augustine FL 32086-5299. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Perez, Myriam C can be contacted via phone (904) 794-5411.

Contact Information

Primary practice address
16 St Johns Medical Park Dr St Augustine FL 32086-5299
Phone: (904) 794-5411
Fax: (904) 794-4224
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X ME27768 Florida

Profile Details

NPI number 1649204280
LBN Legal business name Perez, Myriam C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jan 8th, 2010 - about 15 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 1649204280 NPPES
Other 78499 BLUE CROSS/SHIELD
MEDICAID 059094100 BLUE CROSS/SHIELD

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