Individual
DR. MIRELIS PERAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2214 HOLLYWOOD BLVD, HOLLYWOOD, FL 33020-6702
(954) 927-9555
(954) 921-4604
Mailing address
8103 S PALM DR, APT 524, PEMBROKE PINES, FL 33025-4533
(954) 243-5038
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY9014
FL
Other
Enumeration date
09/11/2013
Last updated
05/05/2014
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