Individual
ALFONSO PEREZ II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1310 37TH ST, VERO BEACH, FL 32960-4860
(830) 325-2952
Mailing address
1604 CAMARINOS DR, EAGLE PASS, TX 78852-5562
(830) 325-2952
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PTA 26376
FL
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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