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Individual

ESMIL PEREZ CHAVEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6200 FALCONSGATE AVE, DAVIE, FL 33331-2926
(240) 676-5724
(786) 360-2509
Mailing address
6200 FALCONSGATE AVE, DAVIE, FL 33331-2926
(240) 676-5724
(786) 360-2509

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME112118
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006336900
FL
Enumeration date
08/01/2011
Last updated
01/03/2025
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