Individual
JAVIER PEREZ MENA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10105 NW 9TH STREET CIR APT 203, MIAMI, FL 33172-3290
(786) 953-3279
Mailing address
10105 NW 9TH STREET CIR APT 203, MIAMI, FL 33172-3290
(786) 953-3279
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25690
FL
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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