Individual
MRS. DONNA BOLTON PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, CWS
Contact information
Practice address
8320 W SUNRISE BLVD, SUITE 109, PLANTATION, FL 33322-5435
(954) 424-6377
(954) 424-2031
Mailing address
662 NW 90TH TER, PLANTATION, FL 33324-1186
(305) 431-7861
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9101819
FL
Other
Enumeration date
07/14/2006
Last updated
01/30/2008
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