Individual
JORGE PERERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1101 W. BROWARD BLVD., FORT LAUDERDALE, FL 33312
(954) 463-7313
(954) 527-6003
Mailing address
1608 SE 3RD AVE, THIRD FLOOR CBO-PBO, FORT LAUDERDALE, FL 33316-2564
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW1234
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW1234
LICENSE
FL
Enumeration date
02/20/2007
Last updated
04/15/2015
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