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Individual

DR. EDUARDO LUIS PEREZ-STABLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4510 SHERIDAN ST, HOLLYWOOD, FL 33021-3516
(954) 893-8900
(954) 416-6633
Mailing address
4510 SHERIDAN ST, HOLLYWOOD, FL 33021-3516
(954) 893-8900
(954) 893-8992

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME83969
FL
207Q00000X
Family Medicine Physician
Primary
PA9102145
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
134706
AETNA
01
13714Y
BLUE CROSS
FL
01
178521
JMH
01
592466190
MEMORIAL PRIMARY
FL
01
592466190
MEMORIAL MANAGED CARE
01
8636837
CIGNA HEALTH PLAN
01
G596
SUMMIT HEALTH PLAN
FL
01
SG07396
VISTA HEALTH PLAN
FL
Enumeration date
04/14/2006
Last updated
03/26/2021
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