Organization
FLORIDA APRN QUALITY CONNECT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEODULO JOSE PEREZ APRN/FAMILY (APRN)
(786) 470-4563
Entity
Organization
Contact information
Practice address
15900 SW 197TH AVE, MIAMI, FL 33187-1108
(786) 470-4563
(305) 964-5385
Mailing address
15900 SW 197TH AVE, MIAMI, FL 33187-1108
(786) 470-4563
(305) 964-5385
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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