Individual
MANUEL PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
4500 NW 183RD ST, MIAMI GARDENS, FL 33055-3045
(305) 620-3901
(305) 620-3940
Mailing address
21340 NE 8TH CT APT 3, NORTH MIAMI BEACH, FL 33179-1268
(786) 443-0644
(305) 620-3940
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO4712
FL
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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