Individual
MISAEL PERDOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11983 TAMIAMI TRL N, NAPLES, FL 34110-1603
(239) 244-4848
Mailing address
754 CAMILLA ST E, LEHIGH ACRES, FL 33974-0598
(239) 244-4848
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/20/2020
Last updated
12/20/2020
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