Individual
JORGE LUIS PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6405 NW 36TH ST STE 105, VIRGINIA GARDENS, FL 33166-6977
(305) 856-1999
Mailing address
740 SW 62ND AVE APT REAR, MIAMI, FL 33144-3835
(786) 380-6787
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI4364
FL
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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