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Individual

DR. RAPHAEL E PEREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1120 SW 8TH ST, MIAMI, FL 33130-3604
(786) 853-1079
(305) 860-3088
Mailing address
524 FERNWOOD RD, MIAMI, FL 33149-1842
(786) 853-1079
(305) 860-3088

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3418
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
257423300
FL
05
257423301
FL
Enumeration date
04/08/2007
Last updated
03/12/2017
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