Individual
ENOS PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 7TH ST S, ST PETERSBURG, FL 33701-4704
(727) 824-7130
(727) 824-8290
Mailing address
PO BOX 12868, ST. PETERSBURG, FL 33733-2868
(727) 824-8357
(727) 824-3132
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME79914
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259702100
—
FL
Enumeration date
09/22/2005
Last updated
08/29/2012
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