Individual
DR. VICTOR TEOFILO PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
255 BORMAN DR FL 2, MERRITT ISLAND, FL 32953
(321) 434-6650
(321) 434-5864
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME75900
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255591300
—
FL
01
—
44717
BC/BS OF FL
FL
01
—
E1198V
HFMG FL MEDICARE
FL
01
—
P01346564
RR MEDICARE
FL
Enumeration date
12/01/2005
Last updated
03/03/2020
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