Individual
JUAN SALVADOR PEREZ GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5900 LAKE ELLENOR DR STE 700, ORLANDO, FL 32809-4643
(407) 352-2542
(407) 352-2547
Mailing address
5900 LAKE ELLENOR DR STE 700, ORLANDO, FL 32809-4643
(407) 352-2542
(407) 352-2547
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
52679
AZ
208M00000X
Hospitalist Physician
Primary
ME149496
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194403
—
AZ
Enumeration date
08/13/2013
Last updated
09/21/2021
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