Individual
MR. JORGE ALBERTO PEREZ MOLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TH.M.
Contact information
Practice address
518 PEACHTREE RD, ORLANDO, FL 32804-6813
(407) 730-7983
Mailing address
4924 EAGLESMERE DR APT 337, ORLANDO, FL 32819-5621
(407) 766-0694
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
—
FL
225XM0800X
Mental Health Occupational Therapist
Primary
—
—
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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