Provider Demographics
NPI:1982231478
Name:PEREZ, JOSE L
Entity Type:Individual
Prefix:MR
First Name:JOSE
Middle Name:L
Last Name:PEREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6909 HEMLOCK RD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34472-9455
Mailing Address - Country:US
Mailing Address - Phone:407-575-1815
Mailing Address - Fax:
Practice Address - Street 1:6909 HEMLOCK RD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34472-9455
Practice Address - Country:US
Practice Address - Phone:407-575-1815
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-24
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)