Provider Demographics
NPI:1043910896
Name:PEREZ ADAMES, HELEM JOSEFINA
Entity type:Individual
Prefix:
First Name:HELEM
Middle Name:JOSEFINA
Last Name:PEREZ ADAMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12207 TERRACOTTA DR
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34211-3204
Mailing Address - Country:US
Mailing Address - Phone:786-308-9606
Mailing Address - Fax:
Practice Address - Street 1:3800 S TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-6908
Practice Address - Country:US
Practice Address - Phone:941-955-3328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-08
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS65252183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist