Perez-Stable, Eduardo Luis

Perez-Stable, Eduardo Luis is an individual health care provider with primary practice located at 4510 Sheridan St , Hollywood FL 33021-3516. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Perez-Stable, Eduardo Luis can be contacted via phone (954) 893-8900.

Contact Information

Primary practice address
4510 Sheridan St Hollywood FL 33021-3516
Fax: (954) 416-6633
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME83969 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X PA9102145 Florida

Profile Details

NPI number 1649234808
LBN Legal business name Perez-Stable, Eduardo Luis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Mar 26th, 2021 - about 3 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 1649234808 NPPES
Florida Other 592466190 MEMORIAL PRIMARY
Florida Other 13714Y MEMORIAL PRIMARY
Florida Other G596 MEMORIAL PRIMARY
Florida Other 134706 MEMORIAL PRIMARY
Florida Other 178521 MEMORIAL PRIMARY
Florida Other 592466190 MEMORIAL PRIMARY
Florida Other 8636837 MEMORIAL PRIMARY
Florida Other SG07396 MEMORIAL PRIMARY

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