# PEREZ EYE CENTER P L

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194005249
- **Authorized official:** MS. MARGARITA WHIDDEN (ADMINISTRATOR)
- **Authorized official phone:** (813) 875-6588

## Contact information

- **Practice address:** 4506 WISHART PL, TAMPA, FL 33603-2724
- **Practice address phone:** (813) 875-6588
- **Practice address fax:** (813) 873-3688
- **Mailing address:** 4506 WISHART PL, TAMPA, FL 33603-2724
- **Mailing address phone:** (813) 875-6588
- **Mailing address fax:** (813) 873-3688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/22/2011
- **Last updated:** 02/28/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004091300 | — | FL |