Perez, Gladys

Perez, Gladys is an individual health care provider with primary practice located at 2315 Aaron St , Port Charlotte FL 33952-5305. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Perez, Gladys can be contacted via phone (941) 979-5700.

Contact Information

Primary practice address
2315 Aaron St Port Charlotte FL 33952-5305
Phone: (941) 979-5700
Fax: (941) 613-1387
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME58745 Florida

Profile Details

NPI number 1245225895
LBN Legal business name Perez, Gladys
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Nov 15th, 2011 - about 15 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 1245225895 NPPES
Florida Other 11559 BLUE CROSS AND BLUE SHIEL

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