Individual
DR. MARCO ANTONIO PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
636 DEL PRADO BLVD S, CAPE CORAL, FL 33990-2668
(239) 424-3123
(239) 424-4140
Mailing address
11001 62ND DR APT 11C, FOREST HILLS, NY 11375-1283
(917) 407-1013
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD2016-0243
NM
208M00000X
Hospitalist Physician
MD2016-0243
NM
208M00000X
Hospitalist Physician
Primary
ME129797
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100463700
—
FL
Enumeration date
02/15/2013
Last updated
07/11/2023
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