Lister Perez, Annet Tamara

Lister Perez, Annet Tamara is an sole proprietor health care provider with primary practice located at 3501 Del Prado Blvd S Ste 303 , Cape Coral FL 33904-7222. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Lister Perez, Annet Tamara can be contacted via phone (239) 317-0265.

Contact Information

Primary practice address
3501 Del Prado Blvd S Ste 303 Cape Coral FL 33904-7222
Phone: (239) 317-0265
Fax: (239) 673-7681
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11007889 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN110078 Florida

Profile Details

NPI number 1164040259
LBN Legal business name Lister Perez, Annet Tamara
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2020
Last updated Jan 29th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164040259 NPPES
Florida MEDICAID 109138300

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