Perez, Victor Teofilo
Perez, Victor Teofilo is an individual health care provider with primary practice located at 255 Borman Dr Fl 2 , Merritt Island FL 32953. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Perez, Victor Teofilo can be contacted via phone (321) 434-6650.Contact Information
Primary practice address
255 Borman Dr Fl 2
Merritt Island FL 32953
Phone: (321) 434-6650
Fax: (321) 434-5864
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME75900 | Florida |
Profile Details
| NPI number | 1326022559 |
|---|---|
| LBN Legal business name | Perez, Victor Teofilo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Mar 3rd, 2020 - about 6 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 | 1326022559 | NPPES |
| Florida | Other | P01346564 | RR MEDICARE |
| Florida | Other | E1198V | RR MEDICARE |
| Florida | Other | 44717 | RR MEDICARE |
| Florida | MEDICAID | 255591300 | RR MEDICARE |
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