Provider Demographics
NPI:1619487659
Name:PEREZ, JOEL ERNESTO (ARNP)
Entity type:Individual
Prefix:
First Name:JOEL
Middle Name:ERNESTO
Last Name:PEREZ
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:JOEL
Other - Middle Name:ERNESTO
Other - Last Name:PEREZ GRACIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 850001, DEPT 8340
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32885-0001
Mailing Address - Country:US
Mailing Address - Phone:813-536-7277
Mailing Address - Fax:855-830-1722
Practice Address - Street 1:8623 REGENCY PARK BLVD
Practice Address - Street 2:
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668-5742
Practice Address - Country:US
Practice Address - Phone:727-842-9861
Practice Address - Fax:727-842-9759
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-04
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9397644363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily