Individual
YOSVANY PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3521 SW 38TH ST, HOLLYWOOD, FL 33023-6356
(954) 893-6093
Mailing address
3521 SW 38TH ST, HOLLYWOOD, FL 33023-6356
(954) 893-6093
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6905826
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142302900
—
FL
Enumeration date
05/21/2007
Last updated
01/28/2012
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