Individual
CAROLYNA DANIELLE PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1767 S KINGS AVE, BRANDON, FL 33511-6220
(813) 345-4044
Mailing address
1767 S KINGS AVE, BRANDON, FL 33511-6220
(813) 345-4044
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9115996
FL
Other
Enumeration date
02/07/2020
Last updated
05/22/2023
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