Individual
EDWARD A PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1601 S ANDREWS AVE FL 2, FT LAUDERDALE, FL 33316-2509
(954) 355-3490
(954) 355-3498
Mailing address
1700 NW 49TH ST STE 125, FT LAUDERDALE, FL 33309-3750
(954) 355-3490
(954) 355-3498
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
35461
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124729
—
MS
05
—
104102200
—
FL
05
—
143747001
—
AR
05
—
3864612
—
TN
Enumeration date
09/29/2005
Last updated
04/03/2024
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