Individual
DR. GLENDA MARIE NIEVES PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1931 S NARCOOSSEE RD, SAINT CLOUD, FL 34771-7211
(407) 986-9642
(407) 593-6102
Mailing address
425 W COLONIAL DR STE 303, ORLANDO, FL 32804-6863
(321) 758-2966
(407) 286-4515
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
16,898
PR
208D00000X
General Practice Physician
Primary
ACN799
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017790300
—
FL
01
—
1538355060
NPI
FL
01
—
ACN799
STATE LICENSE
FL
Enumeration date
09/18/2007
Last updated
08/14/2025
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