Individual
JONATHAN DALIEL PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2050 E OSCEOLA PKWY, KISSIMMEE, FL 34743-8602
(407) 348-2323
Mailing address
12075 STONE BARK TRL, ORLANDO, FL 32824-7394
(787) 568-9958
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT93478
FL
Other
Enumeration date
06/04/2021
Last updated
06/07/2021
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