| Perez Group Medical Service Corp | |
|
6595 Nw 36th St Suite 200 Virginia Gardens FL 33166-6979 | |
| (305) 876-9008 | |
| (305) 876-9060 |
| Full Name | Perez Group Medical Service Corp |
|---|---|
| Speciality | Clinic/center |
| Location | 6595 Nw 36th St, Virginia Gardens, Florida |
| Authorized Official Name and Position | Jesus M Perez (PRESIDENT OWNER) |
| Authorized Official Contact | 3058769008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perez Group Medical Service Corp 6595 Nw 36th St Suite 200 Virginia Gardens FL 33166-6979 Ph: (305) 876-9008 | Perez Group Medical Service Corp 6595 Nw 36th St Suite 200 Virginia Gardens FL 33166-6979 Ph: (305) 876-9008 |
| NPI Number | 1073729372 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073729372 | NPI | - | NPPES |
| HCC7384 | Other | FL | AHCA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | HCC7384 (Florida) | Primary |
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