Individual
EVELYN PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8900 N KENDALL DR, MIAMI, FL 33176-2118
(786) 596-2000
Mailing address
9100 SW 20TH ST, MIAMI, FL 33165-8235
(305) 338-4760
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102201
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292042500
—
FL
01
—
U0778Y
MEDICARE
FL
01
—
U0778Z
MEDICARE
FL
Enumeration date
04/14/2006
Last updated
10/05/2018
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