Individual
FERNANDO PEREZ LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11750 SW 40TH ST, MIAMI, FL 33175-3530
(305) 223-3000
Mailing address
9854 SW 8TH ST, APT 202, MIAMI, FL 33174-2955
(786) 468-0286
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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