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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558497909 NPPES
Indiana MEDICAID 300040491

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