Individual
JENNY KORINA PEROZO QUIROZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
1921 S KIRKMAN RD APT 222, ORLANDO, FL 32811-2318
(407) 781-7387
Mailing address
1921 S KIRKMAN RD APT 222, ORLANDO, FL 32811-2318
(407) 781-7387
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
19-485
FL
Other
Enumeration date
04/25/2020
Last updated
04/25/2020
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