Individual
ARLES PERDOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3677 CENTRAL AVE STE I, FORT MYERS, FL 33901-8226
(239) 944-0918
(239) 237-5165
Mailing address
3677 CENTRAL AVE STE I, FORT MYERS, FL 33901-8226
(239) 944-0918
(239) 237-5165
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
ME87444
FL
207Q00000X
Family Medicine Physician
Primary
ME874444
FL
208D00000X
General Practice Physician
ME87444
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262307200
—
FL
Enumeration date
09/21/2006
Last updated
04/06/2023
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