Provider Demographics
NPI:1649786278
Name:PEREZ, ROBERT LOUIS (FNP)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:LOUIS
Last Name:PEREZ
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1608 SE 3RD AVE FL 3
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33316-2564
Mailing Address - Country:US
Mailing Address - Phone:954-786-7392
Mailing Address - Fax:954-786-7339
Practice Address - Street 1:201 E SAMPLE RD FL 2
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-3502
Practice Address - Country:US
Practice Address - Phone:954-786-7392
Practice Address - Fax:954-786-7339
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-19
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP9211384363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily