Individual
RICHARD WILLFREDO PEREZ BRAZOBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
2835 SW 27TH ST, MIAMI, FL 33133-3050
(786) 817-9714
Mailing address
2835 SW 27TH ST, MIAMI, FL 33133-3050
(786) 817-9714
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
20-170
FL
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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