Individual
LUIS MANUEL PEREZ CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2780 W 62 ST, APT. 106, HIALEAH, FL 33016
(305) 903-2576
Mailing address
2780 W 62 ST, APT. 106, HIALEAH, FL 33016
(305) 903-2576
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
15-736
FL
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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