Individual
LOUIS T PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO4930
Contact information
Practice address
4040 W WATERS AVE, TAMPA, FL 33614-1958
(813) 488-8231
Mailing address
7472 BAY ST NE, ST PETERSBURG, FL 33702-5436
(727) 254-1082
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO4930
FL
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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