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Jonathan Daliel Perez

Pharmacy Technician in Kissimmee, FL. Individual provider (NPI-1).

NPI number1942877477
StatusActive
Last updated in NPPESJun 7, 2021

Details

NPI
1942877477
Entity type
Individual (NPI-1)
Name
Jonathan Daliel Perez
Sex
Male
Sole proprietor
No
Enumeration date
Jun 4, 2021
Certification date
Jun 7, 2021
Last updated
Jun 7, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183700000X Pharmacy TechnicianRPT93478FLYes

Practice location

2050 E Osceola Pkwy
Kissimmee, FL 34743-8602

Phone 407-348-2323

Mailing address

12075 Stone Bark Trl
Orlando, FL 32824-7394

Phone 787-568-9958

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