Individual
IDAEL PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5723 SW 3RD ST, MIAMI, FL 33144-3405
(305) 266-7071
Mailing address
PO BOX 611864, NORTH MIAMI, FL 33261-1864
(786) 380-0992
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA48212
FL
Other
Enumeration date
02/23/2007
Last updated
09/25/2019
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