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Individual

WITIZA PEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2139 KINGS PALACE DR, RIVERVIEW, FL 33578-2131
(813) 442-6212
Mailing address
2139 KINGS PALACE DR, RIVERVIEW, FL 33578-2131
(813) 442-6216

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4471
PR

Other

Enumeration date
06/23/2006
Last updated
10/12/2011
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