Individual
MR. KEVIN ALEXANDER PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4130 TAMIAMI TRL UNIT 202, PORT CHARLOTTE, FL 33952-9207
(941) 787-7111
(941) 764-0872
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
(239) 599-2612
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9114989
FL
Other
Enumeration date
09/21/2021
Last updated
05/20/2024
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