Provider Demographics
NPI:1477013977
Name:PEREZ VARGAS, ROWEL (MD)
Entity type:Individual
Prefix:
First Name:ROWEL
Middle Name:
Last Name:PEREZ VARGAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11600 GLADIOLUS DR STE C17
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-4567
Mailing Address - Country:US
Mailing Address - Phone:239-790-2488
Mailing Address - Fax:239-790-2490
Practice Address - Street 1:11600 GLADIOLUS DR STE C17
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-4567
Practice Address - Country:US
Practice Address - Phone:239-790-2488
Practice Address - Fax:239-790-2490
Is Sole Proprietor?:No
Enumeration Date:2019-03-21
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME169858207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine