Individual
DR. JAIME PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
307 S MACDILL AVE, TAMPA, FL 33609-3141
(813) 877-3739
(813) 877-3738
Mailing address
307 S MACDILL AVE, TAMPA, FL 33609-3141
(813) 877-3739
(813) 877-3738
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
ME73172
FL
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME73172
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2373861
AETNA US HEALTHCARE HMO
FL
01
—
58077
BLUE CROSS & BLUE SHIELD
FL
01
—
7227174
AETNA US HEALTHCARE PPO/M
FL
Enumeration date
07/18/2006
Last updated
02/27/2009
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