Individual
RAFAEL EDUARDO PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6061 PALMETTO CIR N, BOCA RATON, FL 33433-3602
(866) 652-4437
Mailing address
1017 N VICTORIA PARK RD APT 1, FORT LAUDERDALE, FL 33304-2452
(708) 415-6419
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28954
FL
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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