# JOSE V. PEREZ, D.O., P.A.

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

## Provider details

- **NPI number:** 1336466457
- **Authorized official:** DR. JOSE VICTOR PEREZ D.O. (PRESIDENT)
- **Authorized official phone:** (305) 322-7582

## Contact information

- **Practice address:** 4751 W 4TH AVE, HIALEAH, FL 33012-3938
- **Practice address phone:** (305) 456-8074
- **Mailing address:** 4113 W 11TH LN, HIALEAH, FL 33012-4164
- **Mailing address phone:** (305) 322-7582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS10877 | FL | Yes |

## Other

- **Enumeration date:** 04/28/2010
- **Last updated:** 09/08/2010