Individual
MISS CARMEN IVETTE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5900 LAKE ELLENOR DR STE 700, ORLANDO, FL 32809-4643
(407) 352-2542
(407) 352-2547
Mailing address
5900 LAKE ELLENOR DR STE 700, ORLANDO, FL 32809-4643
(407) 352-2542
(407) 352-2547
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11005585
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110108600
—
FL
Enumeration date
02/05/2020
Last updated
07/08/2021
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