Individual
MRS. VIVIANA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
538 KOALA DR, KISSIMMEE, FL 34759-4210
(407) 300-4200
(863) 496-1324
Mailing address
538 KOALA DR, KISSIMMEE, FL 34759-4210
(407) 300-4200
(863) 496-1324
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010772500
—
FL
Enumeration date
10/24/2014
Last updated
10/24/2014
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