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Organization
MARIO R PEREZ MD PA
Active
Organization
MARIO R PEREZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO R PEREZ MD (OWNER/PHYCIAN)
(941) 914-3310
Entity
Organization
Contact information
Practice address
2075 MAIN ST, SUITE#1A, SARASOTA, FL 34237-6057
(941) 914-3310
(941) 316-0185
Mailing address
2075 MAIN ST, SUITE#1A, SARASOTA, FL 34237-6057
(941) 914-3310
(941) 316-0185
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME72969
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277533600
—
FL
Enumeration date
04/30/2008
Last updated
05/06/2008
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