Individual
OMAR ENRIQUE PEREZ TOLEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
790 NW 107TH AVE STE 110, MIAMI, FL 33172-3100
(305) 964-5426
(305) 964-5624
Mailing address
891 SW 128TH CT, MIAMI, FL 33184-2255
(786) 223-3201
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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