Individual
DAVID PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5224 SUNSET BLVD, LEXINGTON, SC 29072-9259
(803) 796-4449
Mailing address
2161 CR 540A #286, LAKELAND, FL 33813-8717
(863) 709-8777
(863) 709-1060
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2737
SC
363AS0400X
Surgical Physician Assistant
PA9104689
FL
Other
Enumeration date
08/15/2008
Last updated
06/04/2020
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