Mayrene Alfonso Perez, MD
General Practice in Tampa, FL. Individual provider (NPI-1).
NPI number1124642012
StatusActive
Last updated in NPPESAug 27, 2024
Details
- NPI
- 1124642012
- Entity type
- Individual (NPI-1)
- Name
- Mayrene Alfonso Perez
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 5, 2020
- Certification date
- Aug 27, 2024
- Last updated
- Aug 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | ACN1299 | FL | Yes |
Practice location
6822 W Waters AveTampa, FL 33634-2212
Phone 813-280-4909
Mailing address
6822 W Waters AveTampa, FL 33634-2212
Phone 813-280-4909
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