Provider Demographics
NPI:1538402623
Name:PEREZ, CARLA MARIE (MD)
Entity type:Individual
Prefix:
First Name:CARLA
Middle Name:MARIE
Last Name:PEREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:11310 LEGACY AVE
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-3658
Mailing Address - Country:US
Mailing Address - Phone:561-624-9188
Mailing Address - Fax:
Practice Address - Street 1:11310 LEGACY AVE
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-3658
Practice Address - Country:US
Practice Address - Phone:561-624-9188
Practice Address - Fax:561-514-7217
Is Sole Proprietor?:No
Enumeration Date:2013-03-27
Last Update Date:2020-09-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME1412612080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology