Organization
PEREZ GROUP MEDICAL SERVICE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESUS M PEREZ (PRESIDENT OWNER)
(305) 876-9008
Entity
Organization
Contact information
Practice address
6595 NW 36TH ST, SUITE 200, VIRGINIA GARDENS, FL 33166-6979
(305) 876-9008
(305) 876-9060
Mailing address
6595 NW 36TH ST, SUITE 200, VIRGINIA GARDENS, FL 33166-6979
(305) 876-9008
(305) 876-9060
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC7384
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC7384
AHCA LICENSE
FL
Enumeration date
05/15/2007
Last updated
08/22/2020
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