Individual
FERNANDO PEREZ IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
203 N MARION ST FL 2, TAMPA, FL 33602-4914
(813) 474-9804
(813) 540-6025
Mailing address
6000 49TH ST N, ST PETERSBURG, FL 33709-2114
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS20707
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2021
Last updated
07/05/2024
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