Individual
LIA E PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-7365
(813) 449-8618
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
(813) 745-7365
(813) 449-8618
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
ME87267
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266561100
—
FL
01
—
29132
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/25/2006
Last updated
07/24/2025
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