Provider Demographics
NPI:1427367077
Name:LEBRON PEREZ, JOBSE I (MD)
Entity Type:Individual
Prefix:DR
First Name:JOBSE
Middle Name:I
Last Name:LEBRON PEREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1838 HEALTH CARE DR
Mailing Address - Street 2:
Mailing Address - City:TRINITY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-5362
Mailing Address - Country:US
Mailing Address - Phone:787-466-8190
Mailing Address - Fax:727-372-7040
Practice Address - Street 1:1838 HEALTH CARE DR
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655
Practice Address - Country:US
Practice Address - Phone:727-375-8528
Practice Address - Fax:727-372-7040
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-30
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18015208D00000X
FLACN765208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice