Organization
1ST CLASS PHYSICAL MEDICINE AND REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MARIE ALVAREZ PEREZ M.D. (OWNER)
(419) 573-2505
Entity
Organization
Contact information
Practice address
2275 SW 22ND LN, OCALA, FL 34471-7710
(352) 387-9889
Mailing address
2141 NE 2ND ST, OCALA, FL 34470-6950
(419) 573-2505
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME124242
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0106786
—
OH
Enumeration date
07/12/2014
Last updated
03/10/2017
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