Individual
CARLOS LEONARDO PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1175 E KENNEDY BLVD, N 639, TAMPA, FL 33602
(813) 966-1023
Mailing address
1175 E KENNEDY BLVD, N 639, TAMPA, FL 33602
(813) 966-1023
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9443076
FL
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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