Individual
MRS. LEYANEE PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.,L.D.
Contact information
Practice address
6625 MIAMI LAKES DR, SUITE 214, MIAMI LAKES, FL 33014-2708
(305) 200-8093
(305) 556-1620
Mailing address
6625 MIAMI LAKES DR, SUITE 214, MIAMI LAKES, FL 33014-2708
(305) 200-8093
(305) 556-1620
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
ND2400
FL
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
ND2400
FL
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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