Individual
CARMEN EVA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 MEDICAL LN, SUITE 4, FORT MYERS, FL 33907-1116
(239) 334-6160
Mailing address
PO BOX 51319, FORT MYERS, FL 33994-1319
(239) 334-6160
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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