Provider Demographics
NPI:1407256480
Name:PEREZ, ALEJANDRO (APRN)
Entity Type:Individual
Prefix:
First Name:ALEJANDRO
Middle Name:
Last Name:PEREZ
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:274 E EAU GALLIE BLVD # 306
Mailing Address - Street 2:
Mailing Address - City:INDIAN HARBOUR BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32937-4874
Mailing Address - Country:US
Mailing Address - Phone:321-448-2924
Mailing Address - Fax:321-301-1073
Practice Address - Street 1:2194 HIGHWAY A1A STE 206
Practice Address - Street 2:
Practice Address - City:INDIAN HARBOUR BEACH
Practice Address - State:FL
Practice Address - Zip Code:32937-4931
Practice Address - Country:US
Practice Address - Phone:321-448-2924
Practice Address - Fax:321-256-5283
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-27
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN-9269573363LF0000X
FL9269573363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily