Perez, Pompilio
Perez, Pompilio is an individual health care provider with primary practice located at 2104 Massey Ave Building 2104, Jacksonville FL 32228. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Perez, Pompilio can be contacted via phone (904) 270-4303.Contact Information
Primary practice address
2104 Massey Ave Building 2104
Jacksonville FL 32228
Phone: (904) 270-4303
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN11006644 | Florida |
Profile Details
| NPI number | 1558497909 |
|---|---|
| LBN Legal business name | Perez, Pompilio |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Nov 21st, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558497909 | NPPES |
| Indiana | MEDICAID | 300040491 |
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