Provider Demographics
NPI:1518297019
Name:FRANCISCO M PEREZ-CLAVIJO DPM PA
Entity Type:Organization
Organization Name:FRANCISCO M PEREZ-CLAVIJO DPM PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:M
Authorized Official - Last Name:PEREZ-CLAVIJO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:305-774-1535
Mailing Address - Street 1:10801 SW 57TH PL
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-6414
Mailing Address - Country:US
Mailing Address - Phone:305-774-1535
Mailing Address - Fax:
Practice Address - Street 1:5520 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2220
Practice Address - Country:US
Practice Address - Phone:305-774-1535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-05
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO2909213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty