Provider Information for 1376995894
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SAMANTHA PEREZ
Sex: Female
NPI: 1376995894
Last Updated: 2023-10-27
Certification Date: 2023-10-27
Certification Date: 2023-10-27
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1376995894 | ||||||||
| Enumeration Date | 2016-07-08 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 8180 NW 36TH ST UNIT 404 DORAL, FL 33166 United States Phone: 866-305-7365 | Fax: | ||||||||
| Primary Practice Address | 8180 NW 36TH ST UNIT 404 DORAL, FL 33166 United States Phone: 866-305-7365 | Fax: | ||||||||
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