NPI 1144095407

Nelson Manzur Rapalo Perdomo, AA

Practitioner Anesthesiologist Assistant Brandon, FL

Practice location

Address: 119 Oakfield Dr, Brandon, FL 33511-5779
Phone: (813) 681-5551
Mailing address: 11310 Sage Canyon Dr, Riverview, FL 33578-9318

Registered specialties

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 906 (FL)

Other Anesthesiologist Assistant providers in Florida →

Registry record

NPI: 1144095407
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Nov 2023
Record last updated: 16 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.