Individual
ROBERTO PEREZ-MILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PA
Contact information
Practice address
4600 N HABANA AVE, SUITE 28, TAMPA, FL 33614-7166
(813) 873-2800
(813) 961-8593
Mailing address
4600 N HABANA AVE, SUITE 28, TAMPA, FL 33614-7166
(813) 873-2800
(813) 873-2811
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME0088669
FL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
ME0088669
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1455194
CIGNA
FL
01
—
16150
BLUE CROSS
FL
05
—
2726645-00
—
FL
01
—
2874886
UNITED
FL
01
—
7935347
AETNA
FL
Enumeration date
04/26/2006
Last updated
04/25/2008
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