Organization
MP ADVANCED PRACTICE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIEN PEREZ ARNP (AUTHORIZED OFFICAIL)
(786) 374-7521
Entity
Organization
Contact information
Practice address
10300 SUNSET DR STE 354, MIAMI, FL 33173-3020
(305) 714-2923
(305) 851-7515
Mailing address
15679 SW 10TH LN, MIAMI, FL 33194-2420
(786) 374-7521
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN11000079
LICENSE
FL
Enumeration date
03/10/2021
Last updated
01/20/2023
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