Individual
MR. HUGO PEREZ LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
12177 PEMBROKE RD, PEMBROKE PINES, FL 33025-1727
(954) 436-0555
(954) 436-0108
Mailing address
12177 PEMBROKE RD, PEMBROKE PINES, FL 33025-1727
(954) 436-0555
(954) 436-0108
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA 9100602
FL
363AM0700X
Medical Physician Assistant
Primary
PA9100602
FL
Other
Enumeration date
07/16/2008
Last updated
07/29/2013
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