Individual
ANDRES M PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
15805 SHADDOCK DR STE B, WINTER GARDEN, FL 34787-5769
(407) 423-1234
Mailing address
3165 MCCRORY PL, SUITE 174, ORLANDO, FL 32803-3771
(407) 423-1234
(407) 517-1040
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
3234
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340571100
—
FL
01
—
P00431261
RAIL ROAD MEDICARE
FL
Enumeration date
05/18/2006
Last updated
09/16/2021
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