Individual
LOREN ELIZABETH PERES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 KINGSLEY AVE, ORANGE PARK, FL 32073-5156
(904) 639-8500
Mailing address
235 COCONUT PALM PKWY, PONTE VEDRA, FL 32081-6076
(904) 612-6466
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11011082
FL
Other
Enumeration date
12/02/2020
Last updated
02/01/2021
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