Individual
ANGEL PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
3661 S MIAMI AVE, SUITE 1006, MIAMI, FL 33133-4236
(305) 856-5057
(305) 856-8735
Mailing address
2160 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1410
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9298860
FL
363LF0000X
Family Nurse Practitioner
ARNP9298860
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0784325
CIGNA
FL
01
—
395229
AVMED
FL
01
—
69472
HEALTH SUN HEALTH PLANS
FL
01
—
IV949Y
MEDICARE
FL
01
—
P01850780
RR MEDICARE
FL
Enumeration date
11/07/2011
Last updated
08/01/2017
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