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Individual

ANGEL J PEREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
900 NW 17TH ST, MIAMI, FL 33136-1119
(305) 326-6092
(305) 326-6374
Mailing address
900 NW 17TH ST, MIAMI, FL 33136-1119
(305) 326-6092
(305) 326-6374

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
D00002509
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
086127800
FL
05
086624500
FL
Enumeration date
06/24/2008
Last updated
06/24/2008
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