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1467270009
SAMUEL PERENICH
HUDSON, FL
NPI
1467270009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: FL PA9119155)
Enumeration Date
2024-10-02
Last Update Date
2024-10-02
Business Address
Mr. SAMUEL PERENICH
7547 JACQUE RD
HUDSON, FL 34667-7163
Phone number: 727-862-8561
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Mailing Address
Mr. SAMUEL PERENICH
2705 W BEACH ST
TAMPA, FL 33607-2953
Phone number: 563-676-1188
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