Individual
BALBINO PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
368 N SHADOWBAY BLVD, LONGWOOD, FL 32779-4420
(407) 717-3676
Mailing address
368 N SHADOWBAY BLVD, LONGWOOD, FL 32779-4420
(407) 717-3676
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P626-060-78-259-0
FL
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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