Individual
MARIO LAZARO PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
2801 NW 79TH AVE, MIAMI, FL 33122-1174
(786) 466-1084
Mailing address
2801 NW 79TH AVE, MIAMI, FL 33122-1174
(786) 466-1084
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN9294036
FL
Other
Enumeration date
08/28/2017
Last updated
11/27/2023
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