Provider Demographics
NPI:1326702903
Name:PEREZ-HEYDRICH, SOPHIA LAURA (MSN, APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:SOPHIA
Middle Name:LAURA
Last Name:PEREZ-HEYDRICH
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6280 SUNSET DR STE 501
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4870
Mailing Address - Country:US
Mailing Address - Phone:305-671-3447
Mailing Address - Fax:305-671-3739
Practice Address - Street 1:6280 SUNSET DR STE 501
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4870
Practice Address - Country:US
Practice Address - Phone:305-671-3447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-28
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11016329363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAPRN11016329OtherDEPT OF HEALTH