Most Relevant Information
Provider Data
| NPI Number: | 1003300559 |
| Provider Name: | SERGIO PEREZ |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/19/2018 |
| Last Updated: | 06/19/2018 |
Provider Practice Location
4595 LEXINGTON AVE
JACKSONVILLE
FL
322102058
Practice Location Phone/Fax
| Phone: | 9044484700 |
| Fax: |
Provider Mailing Location
653 MONUMENT RD APT 1329
JACKSONVILLE
FL
322257405
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |