Individual
MANUEL RAMON PEREZ-IZQUIERDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1223 GATEWAY DR STE 2C, MELBOURNE, FL 32901-2607
(321) 549-0815
(321) 768-0039
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 549-0815
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME77082
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010205300
—
FL
01
—
W6108
HFMG
FL
Enumeration date
01/02/2006
Last updated
06/15/2026
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