Provider Demographics
NPI:1972394997
Name:PEREZ FROMETA, MARGARET SOE
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:SOE
Last Name:PEREZ FROMETA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3416 WINDSOR CT
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-4739
Mailing Address - Country:US
Mailing Address - Phone:813-391-6950
Mailing Address - Fax:
Practice Address - Street 1:3416 WINDSOR CT
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-4739
Practice Address - Country:US
Practice Address - Phone:813-391-6950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-391045106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician