Perez, Ruben Edgardo

Perez, Ruben Edgardo is an individual health care provider with primary practice located at 350 1St St N , Winter Haven FL 33881-4113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Perez, Ruben Edgardo can be contacted via phone (863) 595-4130.

Contact Information

Primary practice address
350 1St St N Winter Haven FL 33881-4113
Phone: (863) 595-4130
Fax: (863) 595-0459
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME70231 Florida

Profile Details

NPI number 1932178308
LBN Legal business name Perez, Ruben Edgardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Sep 26th, 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 1932178308 NPPES
Florida MEDICAID 250120100
Florida Other 110169445

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