Individual
MANUEL FREDERICK PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
11031 NE 6TH AVE, MIAMI, FL 33161-7182
(305) 398-6100
(305) 757-2387
Mailing address
11031 NE 6TH AVE, MIAMI, FL 33161-7182
(305) 398-6102
(305) 757-4465
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
758486500
—
FL
Enumeration date
05/18/2006
Last updated
05/25/2008
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