Individual
JODY LYNN PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNM
Contact information
Practice address
1900 E BAY DR, LARGO, FL 33771-2218
(727) 216-1420
Mailing address
1900 E BAY DR, LARGO, FL 33771-2218
(727) 216-1420
(727) 216-1418
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
09000067A
IN
367A00000X
Advanced Practice Midwife
Primary
APRN9454839
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200191180
—
IN
01
—
266180934
MEDICARE
IN
Enumeration date
11/08/2005
Last updated
11/06/2022
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