Provider Demographics
NPI:1679596449
Name:PEREZ, HUBERTO (MD)
Entity type:Individual
Prefix:
First Name:HUBERTO
Middle Name:
Last Name:PEREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2850 WELLNESS AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32763-8395
Mailing Address - Country:US
Mailing Address - Phone:386-574-0700
Mailing Address - Fax:386-774-0121
Practice Address - Street 1:2850 WELLNESS AVE
Practice Address - Street 2:
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-8395
Practice Address - Country:US
Practice Address - Phone:386-574-0700
Practice Address - Fax:386-774-0121
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME98450207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology