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1407557994
JUAN MANUEL LARES PEREZ
MAITLAND, FL
NPI
1407557994
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-03-13
Last Update Date
2023-03-13
Business Address
JUAN MANUEL LARES PEREZ
2600 WESTHALL LN
MAITLAND, FL 32751-7102
Phone number: 407-200-2273
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Mailing Address
JUAN MANUEL LARES PEREZ
6327 BRENTON POINTE CV
ORLANDO, FL 32829-8020
Phone number: 407-952-7193
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