Individual
ROBERT PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3680 BROADWAY, FORT MYERS, FL 33901-8005
(239) 936-2316
(239) 931-6365
Mailing address
3660 BROADWAY, FORT MYERS, FL 33901-8005
(239) 936-2316
(239) 931-6365
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
231826-1
NY
2085R0202X
Diagnostic Radiology Physician
Primary
ME100836
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281313100
—
FL
01
—
ME100836
FLORIDA LICENSE
FL
Enumeration date
06/13/2007
Last updated
10/16/2008
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