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Organization
N/A
Active
Organization
N/A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE PERERA FNP-C (NP)
(786) 333-5933
Entity
Organization
Contact information
Practice address
6045 SW 162ND AVE, MIAMI, FL 33193-5805
(786) 333-5933
Mailing address
6045 SW 162ND AVE, MIAMI, FL 33193-5805
(786) 333-5933
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9255335
FL
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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