Individual
MR. CARLOS M. PERNAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
12953 PALMS WEST DR, SUITE 201, LOXAHATCHEE, FL 33470-4990
(561) 790-2111
(561) 790-0893
Mailing address
2160 COLONIAL BLVD, FORT MYERS, FL 33907-1410
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102546
FL
363AM0700X
Medical Physician Assistant
PA9102546
FL
Other
Enumeration date
01/09/2006
Last updated
12/12/2017
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