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Individual

ERNESTO PERALTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1800 MERCY DR, ORLANDO, FL 32808-5646
(407) 875-3700
(407) 659-0411
Mailing address
1800 MERCY DR, ORLANDO, FL 32808-5646
(407) 875-3700
(407) 659-0411

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN9409058
FL

Other

Enumeration date
12/12/2016
Last updated
12/12/2016
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