# EDDY PEREZ NODARSE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1790525194
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 05240977 | FL | Yes |
| 363LF0000X | Family Nurse Practitioner | 11033987 | FL | Yes |

## Other

- **Enumeration date:** 05/31/2024
- **Last updated:** 06/02/2026