Individual
JOAN PEREZ AZCARIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
2674 W 72ND PL, HIALEAH, FL 33016-5434
(786) 202-6150
Mailing address
2674 W 72ND PL, HIALEAH, FL 33016-5434
(786) 202-6150
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
13-258
CO
Other
Enumeration date
01/18/2020
Last updated
01/18/2020
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