Individual
KELLY SUE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
5503 S CONGRESS AVE STE 206, ATLANTIS, FL 33462-6626
(561) 964-1632
(561) 964-1636
Mailing address
5503 S CONGRESS AVE STE 206, ATLANTIS, FL 33462-6626
(561) 964-1632
(561) 964-1636
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MA055368
PA
363AM0700X
Medical Physician Assistant
Primary
PA9114802
FL
Other
Enumeration date
09/17/2009
Last updated
01/26/2022
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