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Individual

FERNANDO JAVIER PEREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11760 SW 40TH ST STE 722, MIAMI, FL 33175
(305) 559-1334
Mailing address
11760 SW 40TH ST STE 722, MIAMI, FL 33175-8101
(300) 559-1334
(305) 559-3168

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME114498
FL
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME114498
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016959100
FL
Enumeration date
06/12/2008
Last updated
01/04/2019
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