Perez, Victoria

Perez, Victoria is an individual health care provider with primary practice located at 5355 Lyons Rd , Coconut Creek FL 33073-2825. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Perez, Victoria can be contacted via phone (954) 570-9595.

Contact Information

Primary practice address
5355 Lyons Rd Coconut Creek FL 33073-2825
Fax: (954) 354-8151
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9102528 Florida

Profile Details

NPI number 1013905744
LBN Legal business name Perez, Victoria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated May 5th, 2015 - about 11 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 1013905744 NPPES
Florida MEDICAID 292586900

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