Individual
MADELAINE PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4702 GRAINARY AVE, TAMPA, FL 33624-2106
(656) 204-0114
Mailing address
4702 GRAINARY AVE, TAMPA, FL 33624-2106
(656) 204-0114
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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