Perez, Victor Teofilo

Perez, Victor Teofilo is an individual health care provider with primary practice located at 255 Borman Dr Fl 2 , Merritt Island FL 32953. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Perez, Victor Teofilo can be contacted via phone (321) 434-6650.

Contact Information

Primary practice address
255 Borman Dr Fl 2 Merritt Island FL 32953
Fax: (321) 434-5864
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME75900 Florida

Profile Details

NPI number 1326022559
LBN Legal business name Perez, Victor Teofilo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Mar 3rd, 2020 - 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 1326022559 NPPES
Florida Other P01346564 RR MEDICARE
Florida Other E1198V RR MEDICARE
Florida Other 44717 RR MEDICARE
Florida MEDICAID 255591300 RR MEDICARE

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