Individual
JUAN MANUEL LARES PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 WESTHALL LN, MAITLAND, FL 32751-7102
(407) 200-2273
Mailing address
6327 BRENTON POINTE CV, ORLANDO, FL 32829-8020
(407) 952-7193
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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