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Individual

JOSE L. PEREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6500 W NEWBERRY RD, GAINESVILLE, FL 32605-4309
(352) 333-4180
(352) 333-4861
Mailing address
4131 NW 13TH STREET, SUITE 101, GAINESVILLE, FL 32609-1858
(352) 376-1887
(352) 375-7451

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME51978
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04634
BCBS
FL
Enumeration date
12/15/2006
Last updated
07/08/2007
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