Individual
DR. ELISEO PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4725 N. FEDERAL HIGHWAY, FORT LAUDERDALE, FL 33308-4603
(954) 771-8000
(954) 776-3270
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(855) 851-4405
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME 25845
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037091600
—
FL
01
—
050063736
RAILROAD MEDICARE
FL
01
—
102661
AVMED
FL
01
—
93412
BCBS OF FLORIDA
FL
Enumeration date
01/17/2006
Last updated
08/28/2012
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