Individual
DR. JOSE MANUEL PINERO PERAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
224 SE 24TH ST, GAINESVILLE, FL 32641-7516
(352) 334-7910
(352) 334-7957
Mailing address
224 SE 24TH ST, GAINESVILLE, FL 32641-7516
(352) 334-7910
(352) 334-7957
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
12816
PR
208D00000X
General Practice Physician
Primary
ACN547
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012593000
—
FL
Enumeration date
09/20/2006
Last updated
01/15/2016
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