Perez, Roberto S

Perez, Roberto S is an individual health care provider with primary practice located at 202 N Park Ave , Apopka FL 32703-4148. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Perez, Roberto S can be contacted via phone (407) 889-4711.

Contact Information

Primary practice address
202 N Park Ave Apopka FL 32703-4148
Phone: (407) 889-4711
Fax: (407) 889-7742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME60096 Florida

Profile Details

NPI number 1700867553
LBN Legal business name Perez, Roberto S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Sep 2nd, 2021 - about 4 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 1700867553 NPPES
Florida Other 080129918 RAILROAD MEDICARE
Florida Other 12484Y RAILROAD MEDICARE
Florida MEDICAID 053958900 RAILROAD MEDICARE

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