Provider Demographics
NPI:1215659214
Name:BAEZ PEREZ, JULIO NOEL (FNP)
Entity type:Individual
Prefix:
First Name:JULIO
Middle Name:NOEL
Last Name:BAEZ PEREZ
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:390 S STATE ROAD 7
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33023-6718
Mailing Address - Country:US
Mailing Address - Phone:954-743-5522
Mailing Address - Fax:954-743-5632
Practice Address - Street 1:390 S STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33023-6718
Practice Address - Country:US
Practice Address - Phone:954-743-5522
Practice Address - Fax:954-743-5632
Is Sole Proprietor?:No
Enumeration Date:2022-09-15
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF08220822363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily