Individual
DR. GLADYS PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2315 AARON ST, PORT CHARLOTTE, FL 33952-5305
(941) 979-5700
(941) 613-1387
Mailing address
19531 COCHRAN BLVD, PORT CHARLOTTE, FL 33948-2081
(941) 255-3535
(941) 743-2121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME58745
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11559
BLUE CROSS AND BLUE SHIEL
FL
Enumeration date
09/20/2005
Last updated
11/15/2011
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