Individual
DR. MILDRED JAZMINE PEREA-BONET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1854 OAK GROVE BLVD, LUTZ, FL 33559-8605
(813) 948-6133
(813) 948-3460
Mailing address
4033 TAMPA RD STE 101, OLDSMAR, FL 34677-3224
(813) 854-2003
(813) 436-5378
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME104436
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001217100
—
FL
Enumeration date
09/17/2008
Last updated
06/23/2021
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