Individual
MR. ROBERTO CARLOS AZOCAR PEROZO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA
Contact information
Practice address
9751 MOUNTAIN LAKE DR, ORLANDO, FL 32832-5999
(786) 395-4391
Mailing address
9751 MOUNTAIN LAKE DR, ORLANDO, FL 32832-5999
(786) 395-4391
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
22-603
WI
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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