Organization
MARCELA PERAZA, MPT, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELA MARIA PERAZA MPT (PRESIDENT/OWNER)
(305) 987-7803
Entity
Organization
Contact information
Practice address
2734 JACKSON ST, HOLLYWOOD, FL 33020-4812
(305) 987-7803
Mailing address
2734 JACKSON ST, HOLLYWOOD, FL 33020-4812
(305) 987-7803
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT20392
FL
222Q00000X
Developmental Therapist
PT20392
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891942900
—
FL
Enumeration date
07/16/2007
Last updated
02/24/2015
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