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Contact Information

NICOLAS Y PEREZ
4513 EXECUTIVE DR
NAPLES, FL34119
 Phone: 239-591-2803
 Fax: 239-594-5637
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for NICOLAS Y PEREZ · (Male)

NPI # 1508124991
Status Active
Credentials
Entity Individual
Enumeration date 04/24/2012
Last updated 05/14/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME133268
  • NJ License # 25MA09884300
Hospital affiliation(s)
  • LEE MEMORIAL HOSPITAL - (Acute Care)
    2776 CLEVELAND AVE
    FORT MYERS, FL 33901
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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